Stephanie T Jacobovits, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02770700 Issued in NJ

Practice address

140 Market St
Paterson, NJ 07505-1471

Phone

(973) 742-4200

NPI assigned

Jul 31, 2019

Last updated

Jul 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Smile Central Dover P.C.

  • Dentist
  • Dover, NJ
  • NPI 1033833843
  NPD

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1528612231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 WESTERVELT PL",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554627",
            "telephone_number": "862-247-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MARKET ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051471",
            "telephone_number": "973-742-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "070554952",
            "country_code": "US",
            "telephone_number": "973-574-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3196 Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "NJ",
            "postal_code": "070872436",
            "country_code": "US",
            "telephone_number": "201-325-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBOVITS",
        "first_name": "STEPHANIE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02770700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin J Iula, OTR
• J & J Medical Supply Corp
• J & J Medical Supply LLC
• Norma Jackson Feliciano, RN
• Justin Albert Jackson, CPRS
• Amy Jacobs
• Jeffrey M Jacobs, D.C.
• Jahdee Transport LLC
• Jaime Brothers LLC
• James Labagnara MD PA

• Dentist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.