Individual provider Active NPI

Jeffrey Demilt, DMD

  • General Practice Dentistry
  • Toms River, NJ
National Provider Identifier
1487617114
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20262 Issued in NJ
Practice address
16 Washington St
Toms River, NJ 08753-7643
Phone
(732) 914-1039
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 20262 NJ Primary

Addresses

Primary practice location

16 Washington St
Toms River, NJ 08753-7643

Mailing address

16 Washington St
Toms River, NJ 08753-7643

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229000306 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1052616158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20262NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Family Dental Past Accepting new patients
Shore Family Dental Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487617114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WASHINGTON ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WASHINGTON ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537643",
            "telephone_number": "732-914-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMILT",
        "first_name": "JEFFREY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "20262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.