Individual provider Active NPI

Robert E Scheddin, DMD

  • General Practice Dentistry
  • Jackson, NJ
National Provider Identifier
1033771852
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI02765500 Issued in NJ
Practice address
2046 W County Line Rd Ste 2
Jackson, NJ 08527-2034
Phone
(732) 905-2488
NPI assigned
Jul 1, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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 DI02765500 NJ Primary

Addresses

Primary practice location

2046 W County Line Rd Ste 2
Jackson, NJ 08527-2034

Mailing address

23 S Westfield Rd
Howell, NJ 07731-2323
Phone (732) 367-2571

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
I20190912001389 NJ Order and Referring Only - DentistPractitioner - Dentist 1557690773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI02765500NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Select Dental Jackson LLC General Practice CurrentSince Jun 23, 2025 Accepting new patients
RS Smiles LLC CurrentSince May 7, 2024 Accepting new patients

Locations

2046 W County Line Rd
Ste 2
Jackson, NJ 08527
Phone (732) 905-2488

1109 3rd Ave
Spring Lake, NJ 07762
Phone (732) 974-2288

Organizations & group practices 2

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1033771852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S WESTFIELD RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312323",
            "telephone_number": "732-367-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 W COUNTY LINE RD STE 2",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272034",
            "telephone_number": "732-905-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEDDIN",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI02765500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.