Individual provider Active NPI

Jay Aphale, DDS

  • General Practice Dentistry
  • Mount Laurel, NJ
National Provider Identifier
1093185266
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02619200 Issued in NJ
Practice address
112 Yorktown Dr
Mount Laurel, NJ 08054-2842
Phone
(856) 332-4569
NPI assigned
Sep 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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 22DI02619200 NJ Primary

Addresses

Primary practice location

112 Yorktown Dr
Mount Laurel, NJ 08054-2842

Mailing address

112 Yorktown Dr
Mount Laurel, NJ 08054-2842
Phone (856) 332-4569

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
I20161027000169 NJ Order and Referring Only - DentistPractitioner - Dentist 4183902034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02619200NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1093185266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 YORKTOWN DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542842",
            "telephone_number": "856-332-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 YORKTOWN DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542842",
            "telephone_number": "856-332-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APHALE",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02619200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.