Individual provider Active NPI

Jesse C Doscher, DDS, MSC

  • Oral and Maxillofacial Pathology Dentistry
  • Scarsdale, NY
National Provider Identifier
1497087639
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
053282 Issued in NY
Practice address
1075 Central Park Avenue, Suite 207
Scarsdale Oral Surgery, P.C.
Scarsdale, NY 10583
Phone
(914) 472-5252
Fax
(914) 722-5987
NPI assigned
Feb 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 053282 NY Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 053282 NY
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1075 Central Park Avenue, Suite 207
Scarsdale Oral Surgery, P.C.
Scarsdale, NY 10583

Mailing address

1075 Central Park Avenue, Suite 207
Scarsdale Oral Surgery, P.C.
Scarsdale, NY 10583
Phone (914) 472-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260305001127 NY Practitioner - Oral SurgeryPractitioner - Oral and Maxillofacial Pathology 1456833706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Oral and Maxillofacial Pathology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4422 3Rd Ave
Bronx, NY 10457-2545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053282NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
St. Barnabas Hospital Oral and Maxillofacial Surgery CurrentSince Jan 12, 2026 Accepting new patients
St. Barnabas Hospital CurrentSince Jan 12, 2026 Accepting new patients

Locations

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jdoscher19230@sbhny.direct-ci.net

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": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1497087639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVENUE, SUITE 207",
            "address_2": "SCARSDALE ORAL SURGERY, P.C.",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "10583",
            "telephone_number": "914-472-5252",
            "fax_number": "914-722-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVENUE, SUITE 207",
            "address_2": "SCARSDALE ORAL SURGERY, P.C.",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "10583",
            "telephone_number": "914-472-5252",
            "fax_number": "914-722-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSCHER",
        "first_name": "JESSE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS, MSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NY",
            "license": "053282",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "053282",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.