Individual provider Active NPI

Philip G Schrager, D.D.S.

  • General Practice Dentistry
  • North Brunswick, NJ
National Provider Identifier
1306060413
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10171 Issued in NJ
Practice address
622 Georges Rd
Suite 101
North Brunswick, NJ 08902-3377
Phone
(732) 249-1020
Fax
(732) 249-6078
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 10171 NJ Primary

Addresses

Primary practice location

622 Georges Rd
Suite 101
North Brunswick, NJ 08902-3377

Mailing address

7 Inge LN
Marlboro, NJ 07746-1613
Phone (732) 536-7559

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
I20150623000226 NJ Order and Referring Only - DentistPractitioner - Dentist 7517278229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10171NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Magic Smile of NJ, LLC PastSince Apr 27, 2025 Accepting new patients

Organizations & group practices 1

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306060413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 INGE LN",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461613",
            "telephone_number": "732-536-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 GEORGES RD",
            "address_2": "SUITE 101",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023377",
            "telephone_number": "732-249-1020",
            "fax_number": "732-249-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAGER",
        "first_name": "PHILIP",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "10171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.