Robert Joseph Dibenedetto, MD is a
Surgery physician based in Boonton, New Jersey. Robert Joseph Dibenedetto is licensed to practice in New Jersey (license number 25MA02906200) and his current practice location is 23 Crestfield Rd, Boonton, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 216-6049.
NPI number for Robert Joseph Dibenedetto is 1861592586 and his current mailing address is 23 Crestfield Rd., Boonton Township, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861592586.
Physician's Profile
| Full Name | Robert Joseph Dibenedetto |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 23 Crestfield Rd, Boonton, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861592586
- Provider Enumeration Date: 09/23/2006
- Last Update Date: 07/26/2017
Medical Identifiers
Medical identifiers for Robert Joseph Dibenedetto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861592586 | NPI | - | NPPES |
| 22393 | Other | OK | HEALTHNET |
| PCE155 | Other | | OXFORD |
| 222283772 | Other | | HORIZON AETNA CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 25MA02906200 (New Jersey) | Secondary |
| 208600000X | Surgery | 25MA02906200 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Joseph Dibenedetto is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Robert Joseph Dibenedetto, MD
23 Crestfield Rd.,
Boonton Township, NJ 07005
Ph: (973) 216-6049 | Robert Joseph Dibenedetto, MD
23 Crestfield Rd,
Boonton, NJ 07005-9007
Ph: (973) 216-6049 |
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