Active NPI
Jason Birnbaum, D.D.S.,F.A.G.D.
- General Practice Dentistry
- Phillipsburg, NJ
National Provider Identifier
1477655009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI01491300
- Practice address
- 210 Prospect Ave
Phillipsburg, NJ 08865-1518 - Phone
- (908) 859-2600
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI01491300 | NJ | Primary |
Addresses
Primary practice location
210 Prospect Ave
Phillipsburg, NJ 08865-1518
Mailing address
210 Prospect Ave
Phillipsburg, NJ 08865-1518
Phone (908) 859-2600
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 |
|---|---|---|---|---|
| I20160129001516 | NJ | Order and Referring Only - Other (Physician) | 2860795523 |
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": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477655009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 PROSPECT AVE",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088651518",
"telephone_number": "908-859-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 PROSPECT AVE",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088651518",
"telephone_number": "908-859-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRNBAUM",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "D.D.S.,F.A.G.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI01491300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phillipsburg, NJ
- Mario Beshai, OD
- Better Reflections Holistic Plastic Surgery P.C.
- Amey K. Bhopale, R.PH.
- Bio-Medical Applications of New Jersey, Inc
- Bio-Medical Applications of New Jersey, Inc.
- Brittny Blaha, OTR/L
- Jennifer Blandino, DPT
- Morgan Lydia Blessing, M.S. CCC-SLP
- Janet Helen Bloodgood, PH.D.
- BNS Counseling LLC
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.