Individual provider Active NPI

Jerry M. Strauss, DMD

  • General Practice Dentistry
  • Fairfield, NJ
National Provider Identifier
1023030194
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI 021040 Issued in NJ
Practice address
389 Passaic Ave
Fairfield, NJ 07004-2017
Phone
(973) 227-8998
Fax
(973) 227-3881
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI 021040 NJ Primary

Addresses

Primary practice location

389 Passaic Ave
Fairfield, NJ 07004-2017

Mailing address

389 Passaic Ave
Fairfield, NJ 07004-2017
Phone (973) 227-8998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713000056 NJ Order and Referring Only - DentistPractitioner - Dentist 6204148752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI 021040NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Dental Care, LLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023030194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 PASSAIC AVE",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042017",
            "telephone_number": "973-227-8998",
            "fax_number": "973-227-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 PASSAIC AVE",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042017",
            "telephone_number": "973-227-8998",
            "fax_number": "973-227-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUSS",
        "first_name": "JERRY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI 021040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

Verify at the official NPI Registry.