Deborah Kahn, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02022400 Issued in NJ

Practice address

115 E Main St
Maple Shade, NJ 08052-2621

Phone

(856) 779-7450

NPI assigned

Feb 7, 2008

Last updated

May 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Irena Jug-Weiss,D.M.D.,L.L.C.

  • General Practice Dentistry
  • Maple Shade, NJ
  • NPI 1073723888
  NPD (past)

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1124206479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E TURNBERRY CT",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193822316",
            "telephone_number": "610-715-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522621",
            "telephone_number": "856-779-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS025752L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02022400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JLS Diagnostics
• John B Hudome Innovative Consulting LLC
• Kenya N Jones
• Jennifer Jue Mattle, LCSW
• Irena Jug-Weiss, DMD
• Lawrence Kaufman, R.PH.
• Neslihan Keefer, R.PH
• Kelsch Associates Inc. New Jersey
• Kelsch Associates Inc. New Jersey
• Kelsch Associates Inc. New Jersey

• General Practice Dentistry in Maple Shade, NJ
• Providers in Maple Shade, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.