Active NPI
Ronald M Jupiter, DDS
- Dentist
- Succasunna, NJ
National Provider Identifier
1023125879
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Apr 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11127
- Practice address
- 119 Eyland Avenue
Succasunna, NJ 07876-1501 - Phone
- (973) 584-4361
- Fax
- (973) 584-3518
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11127 | NJ | Primary |
Addresses
Primary practice location
119 Eyland Avenue
Succasunna, NJ 07876-1501
Mailing address
119 Eyland Avenue
Succasunna, NJ 07876-1501
Phone (973) 584-4361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11127 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1023125879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 EYLAND AVENUE",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "078761501",
"telephone_number": "973-584-4361",
"fax_number": "973-584-3518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 EYLAND AVENUE",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "078761501",
"telephone_number": "973-584-4361",
"fax_number": "973-584-3518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUPITER",
"first_name": "RONALD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "11127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Succasunna, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.