DR. EMILY PETERPAUL DMD
NPI 1609303585
Dentist in Camden, NJ
NPI Status: Active since May 22, 2017
- Individual
- Female
- Dentist
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About EMILY PETERPAUL
This page provides the complete NPI Profile along with additional information for Emily Peterpaul, a provider established in Camden, New Jersey with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1609303585 assigned on May 2017. The practitioner's primary taxonomy code is 122300000X with license number RESIDENT (NJ). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1609303585
- Provider Name
- DR. EMILY PETERPAUL DMD
- Other Name
- DR. EMILY PETERPAUL GUBITOSI
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1000 ATLANTIC AVE CAMDEN, NJ 08104
- Location Phone
- (856) 246-3545
- Mailing Address
- 65 DEBRA LN BASKING RIDGE, NJ 07920
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-22-2017
- Last Update Date
- 05-22-2017
- Code Navigator
A dentist like Emily Peterpaul is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Emily Peterpaul opted out of Medicare effective on 05-11-2021 until 05-11-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- RESIDENT
- License State
- NJ
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Alabama Preferred Plan - PPO
- Alabama Preferred Plan (Pediatric Only) - PPO
- Alabama Preferred Plus Plan - PPO
- Alabama Preferred Plus Plan (Pediatric Only) - PPO
- Alabama Wellness Essentials Plan - PPO
- Florida Preferred Plan - PPO
- Florida Preferred Plan (Pediatric Only) - PPO
- Florida Preferred Plus Plan - PPO
- Florida Preferred Plus Plan (Pediatric Only) - PPO
- Florida Wellness Essentials Plan - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Emily Peterpaul is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-11-2021
Opt-Out End Date: 05-11-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 08104 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.9
- Minimum New Patient Price $61.59
- Maximum New Patient Price $185.05
- Average New Patient Copayment $23.72
- Minimum New Patient Copayment $15.39
- Maximum New Patient Copayment $46.26
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $76.45
- Minimum Established Patient Price $20.08
- Maximum Established Patient Price $150.98
- Average Established Patient Copayment $19.11
- Minimum Established Patient Copayment $5.02
- Maximum Established Patient Copayment $37.74
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 3 | 0 | 3 | 5 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 6 | 0 | 6 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 6 + 0 + 6 + 5 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1609303585 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1568450658 | DR. PHILIP WHITING D.O Individual | Family Medicine | 1000 ATLANTIC AVE CAMDEN, NJ 08104 (856) 246-3542 |
| 1508835976 | CONFIDENT CARE CORP Organization | Home Health | 1000 ATLANTIC AVE CAMDEN, NJ 08104 (856) 614-1271 |
| 1427012376 | DR. LUCY SHEFFIELD O.D. Individual | Optometrist | 1000 ATLANTIC AVE KYLE WILL BLDG 2 FL SUITE 6 CAMDEN, NJ 08104 (856) 964-0300 |
| 1831146323 | JOSEPH D. DOBROSKY MD Individual | Emergency Medicine | 1000 ATLANTIC AVE CAMDEN, NJ 08104 (856) 246-3060 |
| 1801833710 | RAMRAKSHAH TIWARI MD Individual | Emergency Medicine | 1000 ATLANTIC AVE CAMDEN, NJ 08104 (856) 246-3060 |
| 1811934946 | SRIHARI GOPAL MD Individual | Emergency Medicine | 1000 ATLANTIC AVE CAMDEN, NJ 08104 (856) 246-3036 |
| 1235179839 | CHRISTOPHER JOSEPH RICCI MD Individual | Emergency Medicine | 1000 ATLANTIC AVE CAMDEN, NJ 08104 (856) 246-3060 |
| 1225070048 | DR. FRANK LAMMERDING D.M.D Individual | Dentist (General Practice) | 1000 ATLANTIC AVE CAMDEN, NJ 08104 (856) 246-3545 |
| 1316983125 | RODOLFO R. PEROCHO MD Individual | Emergency Medicine | 1000 ATLANTIC AVE CAMDEN, NJ 08104 (856) 246-3160 |
| 1083765010 | PROVIDENCE PEDIATRIC MEDICAL DAYCARE, INC. Organization | Clinic/Center (Medically Fragile Infants and Children Day Care) | 1000 ATLANTIC AVE CAMDEN D, 2ND FLOOR CAMDEN, NJ 08104 (856) 338-0900 |
| 1083830483 | EXCEL - CFGHS Organization | Psychiatric Residential Treatment Facility | 1000 ATLANTIC AVE 4TH FLOOR CAMDEN, NJ 08104 (856) 983-3900 |
| 1568621852 | PROVIDENCE PEDIATRIC MEDICAL DAYCARE INC Organization | Clinic/Center (Medically Fragile Infants and Children Day Care) | 1000 ATLANTIC AVE CAMDEN E, 1ST FLOOR CAMDEN, NJ 08104 (856) 338-1350 |
| 1265686646 | INSIGHT Organization | Psychiatric Residential Treatment Facility | 1000 ATLANTIC AVE 4TH FLOOR CAMDEN, NJ 08104 (856) 983-3900 |
| 1528212909 | KIDS IN TRANSITION TWO Organization | Psychiatric Residential Treatment Facility | 1000 ATLANTIC AVE 4TH FLOOR CAMDEN, NJ 08104 (856) 983-3900 |
| 1629222005 | KIDS IN TRANSITION Organization | Psychiatric Residential Treatment Facility | 1000 ATLANTIC AVE 4TH FLOOR CAMDEN, NJ 08104 (856) 983-3900 |
| 1568739126 | MRS. ALLISON JOY ROVNER LCSW Individual | Specialist | 1000 ATLANTIC AVE VIRTUA CASTLE PROGRAM CAMDEN, NJ 08104 (856) 246-3109 |
| 1881984649 | JESSICA MARINOFF D.M.D. Individual | Dentist (General Practice) | 1000 ATLANTIC AVE CAMDEN, NJ 08104 (215) 317-5869 |
| 1982944526 | GEORGE W. HAYMAN LCSW Individual | Social Worker (Clinical) | 1000 ATLANTIC AVE 5TH FLOOR CAMDEN, NJ 08104 (856) 964-3955 |
| 1174564991 | LEE CHEN MD Individual | Emergency Medicine | 1000 ATLANTIC AVE CAMDEN, NJ 08104 (856) 246-3060 |
| 1871936435 | DONALD R CIOFFI D.C. Individual | Chiropractor | 1000 ATLANTIC AVE CAMDEN, NJ 08104 (856) 757-9500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609303585, enumerated in the NPI registry as an "individual" on May 22, 2017
The provider is located at 1000 Atlantic Ave Camden, Nj 08104 and the phone number is (856) 246-3545
The provider's speciality is Dentist with taxonomy code 122300000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $94.9 with an average copayment of $23.72 for new patient appointments. Established patients should expect a typical charge of $76.45 and an average copayment of 19.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on May 11, 2021 to opt-out of the Medicare program. The provider is excluded from the Medicare program until May 11, 2025.
This NPI record was last updated on May 22, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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