Jason Michael Auerbach, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DI02230000 Issued in NJ

Practice address

130 Kinderkamack Rd
Suite 204
River Edge, NJ 07661-1931

Phone

(201) 487-6565

Fax

(201) 487-4229

NPI assigned

Feb 8, 2006

Last updated

Nov 6, 2007By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 10, 2014 through Jul 10, 2028

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.

• Riverside Oral Surgery- Englewood LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Englewood, NJ
  • NPI 1962912832
  NPD Authorized official
• Riverside Oral Surgery - Chatham

  • Oral and Maxillofacial Surgery (Dentist)
  • Chatham, NJ
  • NPI 1801404231
  Authorized official Same address or phone
• Riverside Oral Surgery - Edison

  • Oral and Maxillofacial Surgery (Dentist)
  • Edison, NJ
  • NPI 1124638861
  Authorized official Same address or phone
• Riverside Oral Surgery - Edison-Clark

  • Oral and Maxillofacial Surgery (Dentist)
  • Edison, NJ
  • NPI 1689268427
  Authorized official Same address or phone
• Riverside Oral Surgery - Parsippany

  • Oral and Maxillofacial Surgery (Dentist)
  • Parsippany, NJ
  • NPI 1235723065
  Authorized official Same address or phone
• Riverside Oral Surgery - South Plainfield

  • Oral and Maxillofacial Surgery (Dentist)
  • South Plainfield, NJ
  • NPI 1033703871
  Authorized official Same address or phone
• Riverside Oral Surgery - West Caldwell

  • Oral and Maxillofacial Surgery (Dentist)
  • West Caldwell, NJ
  • NPI 1235723073
  Authorized official Same address or phone
• Riverside Oral Surgery - West Orange

  • Oral and Maxillofacial Surgery (Dentist)
  • West Orange, NJ
  • NPI 1316531155
  Authorized official Same address or phone
• Riverside Oral Surgery-River Edge

  • Oral and Maxillofacial Surgery (Dentist)
  • River Edge, NJ
  • NPI 1962683334
  Authorized official Same address or phone
• Riverside Oral Surgery-Westwood LLC

  dba Riverside Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Westwood, NJ
  • NPI 1245787258
  Authorized official Same address or phone

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1336112648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KINDERKAMACK RD",
            "address_2": "SUITE 204",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611931",
            "telephone_number": "201-487-6565",
            "fax_number": "201-487-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 KINDERKAMACK RD",
            "address_2": "SUITE 204",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611931",
            "telephone_number": "201-487-6565",
            "fax_number": "201-487-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUERBACH",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI02230000",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "048765-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Adams, MD, LLC
• Angela's Angels Home Health Agency
• Lori G. Aram
• Erastus Wyman Archer
• Audiology Distribution, LLC (HearUSA)
• Gene L Bascom
• Scarlett Bassily, PHARMD
• Herbert Daniel Benkel, D.D.S.
• Bergen Obstetrical & Gynecological Assoc PA
• Ira Bernstein, M.D.

• Oral and Maxillofacial Surgery (Dentist) in River Edge, NJ
• Providers in River Edge, 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 Nov 6, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.