Active NPI
Jennifer Lauren Huber, DMD
- General Practice Dentistry
- Linwood, NJ
National Provider Identifier
1578719746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02278400
- Practice address
- 222 New Rd
Suite 803
Linwood, NJ 08221-1299 - Phone
- (609) 926-3222
- Fax
- (609) 601-6334
- NPI assigned
- Aug 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02278400 | NJ | Primary |
| General Practice Dentistry | 1223G0001X | DS035922 | PA |
Addresses
Primary practice location
222 New Rd
Suite 803
Linwood, NJ 08221-1299
Mailing address
222 New Road
Suite 803
Linwood, NJ 08221
Phone (609) 926-3222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02278400 | NJ | MD | General Practice Dentistry |
| DS035922 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Family Dental, P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Linwood, NJ
- NPI 1124289947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218067200000",
"number": "1578719746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 NEW ROAD",
"address_2": "SUITE 803",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "08221",
"telephone_number": "609-926-3222",
"fax_number": "609-601-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 NEW RD",
"address_2": "SUITE 803",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "082211299",
"telephone_number": "609-926-3222",
"fax_number": "609-601-6334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBER",
"first_name": "JENNIFER",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-07",
"last_updated": "2008-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02278400",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS035922",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Linwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.