Individual provider Active NPI

Chad Brownsberger, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Sewell, NJ
National Provider Identifier
1487036984
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS040716 Issued in PA
Practice address
449 Hurffville Crosskeys Rd Unit II
Sewell, NJ 08080-9369
Phone
(856) 582-4222
NPI assigned
Jun 22, 2015
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS040716 PA Primary

Addresses

Primary practice location

449 Hurffville Crosskeys Rd Unit II
Sewell, NJ 08080-9369

Mailing address

449 Hurffville Crosskeys Rd Unit II
Sewell, NJ 08080-9369
Phone (856) 582-4222

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
I20240312002317 NJ Practitioner - Maxillofacial SurgeryPractitioner - Dentist 8921305202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Dentist
Education
Univ of Missouri-Kansas City School of Dentistry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lanzi Burke and Associates, LLCGroup PAC ID 7315900313, 5 clinicians

Practice addresses (Care Compare)

449 Hurffville Crosskeys Rd
Unit II
Sewell, NJ 08080-9369
Phone (856) 582-4222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040716PAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Lanzi Burke and Associates LLC Oral and Maxillofacial Surgery CurrentSince Aug 1, 2024 Accepting new patients
South Jersey Oral & Maxillofacial Surgeons, LLC Oral and Maxillofacial Surgery CurrentSince Mar 1, 2024 Accepting new patients

Locations

15 E Euclid Ave
Haddonfield, NJ 08033
Phone (856) 429-1711

135 Jackson Rd
Medford, NJ 08055
Phone (609) 654-1300

135 Jackson Rd
Ste A
Medford, NJ 08055
Phone (609) 654-1300

449 Hurffville Crosskeys Rd
#2
Sewell, NJ 08080
Phone (856) 582-4222

449 Hurffville Crosskeys Rd
Unit Ii
Sewell, NJ 08080
Phone (856) 582-4222

1630 Route 322
Unit A
Woolwich Twp, NJ 08085
Phone (856) 795-4600

Organizations & group practices 2

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1487036984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 HURFFVILLE CROSSKEYS RD UNIT II",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809369",
            "telephone_number": "856-582-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 HURFFVILLE CROSSKEYS RD UNIT II",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809369",
            "telephone_number": "856-582-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNSBERGER",
        "first_name": "CHAD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS040716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.