Yaakov Allaeb

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02773700 Issued in NJ

Practice address

370 W Pleasantview Ave # 14a
Hackensack, NJ 07601-8004

Phone

(201) 373-2837

NPI assigned

Apr 28, 2015

Last updated

Sep 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Yaakov Allaeb Professional name

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Dental Specialty Associates PC

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
  • NPI 1275592693
  Medicare reassignment NPD
• Oral and Facial Surgery of Queens

  • Oral and Maxillofacial Surgery (Dentist)
  • Elmhurst, NY
  • NPI 1215806658
  NPD Authorized official
• Michael B. Stein, DMD, PC

  dba The Stein Dental Group

  • Dentist
  • Stamford, CT
  • NPI 1649219072

  Oral and Maxillofacial Surgery

  NPD (past)
• White Plains Dental Care, PLLC

  • General Practice Dentistry
  • White Plains, NY
  • NPI 1629410253
  NPD (past)

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1104203272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 W PLEASANTVIEW AVE # 14A",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018004",
            "telephone_number": "201-373-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W PLEASANTVIEW AVE # 14A",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018004",
            "telephone_number": "201-373-2837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Mamaroneck Ave",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106015201",
            "country_code": "US",
            "telephone_number": "914-615-9888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1081 Hope St",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069071824",
            "country_code": "US",
            "telephone_number": "203-329-8444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7622 Vleigh Pl",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113672811",
            "country_code": "US",
            "telephone_number": "646-546-2276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLAEB",
        "first_name": "YAAKOV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "057291",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "12415",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02773700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAAKOV",
            "last_name": "ALLAEB",
            "credential": "D.D.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.