Healthcare Provider Details

I. General information

NPI: 1720788227
Provider Name (Legal Business Name): DR. MAGDELIN RAMIREZ CABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2095 NJ-88
BRICK NJ
08724
US

IV. Provider business mailing address

2095 NJ-88
BRICK NJ
08724
US

V. Phone/Fax

Practice location:
  • Phone: 732-295-1616
  • Fax:
Mailing address:
  • Phone: 732-295-1616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number22D103077700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number40617
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: