Individual provider Active NPI

John Julius Fahsbender III, D.M.D.

  • General Practice Dentistry
  • Middlesex, NJ
National Provider Identifier
1467566166
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11256 Issued in NJ
Practice address
101 Union Ave
Middlesex, NJ 08846-1039
Phone
(732) 356-1313
Fax
(732) 356-1092
NPI assigned
Aug 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11256 NJ Primary

Addresses

Primary practice location

101 Union Ave
Middlesex, NJ 08846-1039

Mailing address

28 Kilmer Dr
Hillsborough, NJ 08844-3830
Phone (908) 874-0524

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311000317 NJ Order and Referring Only - General PracticePractitioner - General Practice 6103122528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11256NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Cervical Chiropractic of New Jersey LLC PastSince Feb 6, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467566166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 KILMER DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088443830",
            "telephone_number": "908-874-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 UNION AVE",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461039",
            "telephone_number": "732-356-1313",
            "fax_number": "732-356-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHSBENDER",
        "first_name": "JOHN",
        "middle_name": "JULIUS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "11256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesex, NJ

Sources for this page

Verify at the official NPI Registry.