Jeffrey B Sameroff, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS 017456L Issued in PA

Practice address

800 Heritage Dr
Suite 811
Pottstown, PA 19464-9220

Phone

(610) 326-3610

Fax

(610) 326-3494

NPI assigned

May 23, 2005

Last updated

Dec 11, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1356344345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HERITAGE DR",
            "address_2": "SUITE 811",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194649220",
            "telephone_number": "610-326-3610",
            "fax_number": "610-326-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HERITAGE DR",
            "address_2": "SUITE 811",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194649220",
            "telephone_number": "610-326-3610",
            "fax_number": "610-326-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMEROFF",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS 017456L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Lynn Salata
• Danielle Salatti
• Kendra Holly Salem, PA-C
• Edwin Salgado
• Patricia Salom, LMFT
• Scott R Samuelson, DPM
• Sanatoga Ophthalmology Associates, Inc.
• Sanatoga Optical
• Sanatoga Pharmacy Inc (Sanatoga Pharmacy)
• Myra Evelyn Sanchez

• General Practice Dentistry in Pottstown, PA
• Providers in Pottstown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.