Jonathon S Sasportas, DMD, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI01840202 Issued in NJ

Practice address

2303 Whitehorse Mercerville Rd
Omscnj
Mercerville, NJ 08619-1931

Phone

(609) 587-2900

Fax

(609) 587-1749

NPI assigned

Oct 5, 2006

Last updated

Aug 1, 2008By 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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 15, 2016 through Mar 15, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Oral & Maxillofacial Surgery of Central NJ

  • Dental Clinic/Center
  • Mercerville, NJ
  • NPI 1649249897

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1407942469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 WHITEHORSE MERCERVILLE ROAD",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191994",
            "telephone_number": "609-587-2900",
            "fax_number": "609-587-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 WHITEHORSE MERCERVILLE RD",
            "address_2": "OMSCNJ",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191931",
            "telephone_number": "609-587-2900",
            "fax_number": "609-587-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASPORTAS",
        "first_name": "JONATHON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD,  MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI01840202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Brett Ross, DC
• Rothman Institute of New Jersey, P.a.
• John Rudy
• RWJ Hamilton Center for Health & Wellness
• Ashley Sarrol, M.S. CCC-SLP
• Hind Sawan, PA-C
• Tammy E Schuler, OD
• Martin J Scott, D.O.
• Khushbu M Shah, PHARMD
• Meera Shah, PHYSICAL THERAPIST

• Oral and Maxillofacial Surgery (Dentist) in Mercerville, NJ
• Providers in Mercerville, 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 Aug 1, 2008; 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.