Active NPI
Jeffrey Bruce Thorne, DDS
- Dentist
- Lebanon, NJ
National Provider Identifier
1437235678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI01526800
- Practice address
- 43 Main St
Lebanon, NJ 08833 - Phone
- (908) 236-2223
- Fax
- (908) 236-7564
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI01526800 | NJ | Primary |
Addresses
Primary practice location
43 Main St
Lebanon, NJ 08833
Mailing address
43 Main St
Lebanon, NJ 08833
Phone (908) 236-2223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D115268 | Other | NJ | LICENSE REQUIRED FOR DELT |
| 863738 | Other | PROVIDER ID REQUIRED FOR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160408001889 | NJ | Order and Referring Only - Dentist | 8123326030 |
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": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437235678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 MAIN ST",
"city": "LEBANON",
"state": "NJ",
"postal_code": "08833",
"telephone_number": "908-236-2223",
"fax_number": "908-236-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 MAIN ST",
"city": "LEBANON",
"state": "NJ",
"postal_code": "08833",
"telephone_number": "908-236-2223",
"fax_number": "908-236-7564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNE",
"first_name": "JEFFREY",
"middle_name": "BRUCE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI01526800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE REQUIRED FOR DELT",
"identifier": "D115268",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID REQUIRED FOR",
"identifier": "863738",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NJ
- Supportive Care Services Limited Liability Company
- Tender Heart Supportive Services
- Tender Heart Supportive Services
- Tender Heart Supportive Services
- Tender Heart Supportive Services
- Melissa Torrey, LSW
- Howard J Tzorfas, DPM
- Mary Elizabeth Vaccarello, BCBA
- Maria Vandewater, CLT LMT
- Vincent J Schaible & Sallyanne Bonner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.