Michael Jaffin, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI02472900 Issued in NJ

Practice address

15 Emerald St
Hackensack, NJ 07601-6102

Phone

(201) 489-5155

NPI assigned

Jul 5, 2011

Sex

Male

Sole proprietor

Yes

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 NJ

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alliance Hand and Physical Therapy, P.C.

  • Customized Equipment (DME)
  • Wayne, NJ
  • NPI 1851684195
  NPD (past)

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1447547963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EMERALD ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016102",
            "telephone_number": "201-489-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EMERALD ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016102",
            "telephone_number": "201-489-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFIN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02472900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Michael Jackson, DMD
• Roxann Jackson, LPN
• Anne-Lise Jacobsen, M.D.
• Marina Jacoup, LSW
• Aleq Jaffery, MD, MPH
• Robert A Jaffin, DMD
• Sheam Jahan, DO
• Ahmed Jaheen, DDS
• Sakshi Jain, M.D
• Kelsey Allison Jakobowski, MD

• Periodontics in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.