Individual provider Active NPI

Jay M Schulhof, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Pittsburgh, PA
National Provider Identifier
1407838626
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DS017537L Issued in PA
Practice address
1675 Washington Rd
Ste 205
Pittsburgh, PA 15228-1626
Phone
(412) 831-3020
Fax
(412) 831-3031
NPI assigned
Nov 15, 2005
Last updated
Mar 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DS017537L PA Primary

Addresses

Primary practice location

1675 Washington Rd
Ste 205
Pittsburgh, PA 15228-1626

Mailing address

1675 Washington Rd
Ste 205
Pittsburgh, PA 15228-1626
Phone (412) 831-3020

Other identifiers 1

IdentifierTypeStateIssuer
0794355MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160602001461 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0648560797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1407838626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 WASHINGTON RD",
            "address_2": "STE 205",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281626",
            "telephone_number": "412-831-3020",
            "fax_number": "412-831-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 WASHINGTON RD",
            "address_2": "STE 205",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281626",
            "telephone_number": "412-831-3020",
            "fax_number": "412-831-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULHOF",
        "first_name": "JAY",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS017537L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0794355",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.