John Julius Fahsbender III, D.M.D.
Individual provider Active NPI General Practice Dentistry · Middlesex, NJ
NPI 1467566166 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467566166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 11256 (NJ)
- Practice address
- 101 Union Ave
Middlesex, NJ 08846-1039 - Phone
- (732) 356-1313
- Fax
- (732) 356-1092
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160311000317 | NJ | Order and Referring Only - General Practice |
6103122528 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11256 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Cervical Chiropractic of New Jersey LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11256 | NJ | Yes |
Addresses
Primary practice location
101 Union Ave
Middlesex, NJ 08846-1039
Mailing address
28 Kilmer Dr
Hillsborough, NJ 08844-3830
Phone (908) 874-0524
Other providers in Middlesex, NJ
- Enable Inc
- Enable, Inc.
- Patience Enabosi
- Beverly Eschbach
- Eyedocs USA LLC
- Adam Fan
- Marylou Fernandes
- Juliann Fischer
- James Foote
- Diana Ibrahim Fransis
All providers in Middlesex, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.