Dr Gregg Andrew Jacob, DMD | |
83 Hanover Rd Ste 240, Florham Park, NJ 07932-1508 | |
(973) 360-1100 | |
(973) 360-1101 |
Full Name | Dr Gregg Andrew Jacob |
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Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 83 Hanover Rd Ste 240, Florham Park, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164540233 | NPI | - | NPPES |
91001810700 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22DI02252800 (New Jersey) | Primary |
204E00000X | Oral & Maxillofacial Surgery | 054217-1 (New York) | Secondary |
Entity Name | New York Comprehensive Orthognathic And Maxillofacial Surgery Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699782219 PECOS PAC ID: 8325045636 Enrollment ID: O20080710000442 |
Mailing Address | Practice Location Address |
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Dr Gregg Andrew Jacob, DMD 83 Hanover Rd Ste 240, Florham Park, NJ 07932-1508 Ph: (973) 360-1100 | Dr Gregg Andrew Jacob, DMD 83 Hanover Rd Ste 240, Florham Park, NJ 07932-1508 Ph: (973) 360-1100 |
Dr. Vineet V. Sohoni, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 140 Columbia Tpke, Florham Park, NJ 07932 Phone: 973-377-4212 | |
Dr. Jeannette G Glass-brudzinski, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 220 Ridgedale Ave, Suite B1, Florham Park, NJ 07932 Phone: 917-957-4638 | |
Dr. Twisha P Patel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 Ridgedale Ave # 104, Florham Park, NJ 07932 Phone: 973-377-2222 | |
Dr. Mark James Gleckner, DMD Dentist Medicare: Medicare Enrolled Practice Location: 66 Ridgedale Ave, Florham Park, NJ 07932 Phone: 973-377-1174 Fax: 973-377-4721 | |
Dr. James Lawrence Silverman, D.M.D., M.A.G.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 149 Ridgedale Ave, Florham Park, NJ 07932 Phone: 973-377-1495 Fax: 973-377-9094 | |
Dr. Roger H. Zenn, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 123 Columbia Tpke, Suite 101-b, Florham Park, NJ 07932 Phone: 973-377-7007 |