Jeffrey C Elbaum, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DI018855 Issued in NJ

Practice address

1125 State Route 35
Ocean, NJ 07712-4043

Phone

(732) 531-8700

Fax

(732) 531-8775

NPI assigned

Jan 4, 2007

Sex

Male

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

Opted out of Medicare

Yes, effective Oct 1, 2023 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1609923317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TULIP CT",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551659",
            "telephone_number": "732-229-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 STATE ROUTE 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124043",
            "telephone_number": "732-531-8700",
            "fax_number": "732-531-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBAUM",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI018855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca T Edelsberg, PSY-D
• Megan Edwards, CPNP
• Esther Ehrenreich, M.S., SLP
• Barry D Elbaum, D.D.S.
• Gayle B. Elbaum, DDS
• Elbaum, Krost & Elbaum, DDS, PA (Center for Oral and Maxillofacial Surgery)
• Christopher Eleazar, P.T., D.P.T.
• Rachel Elice
• Elite Mobility LLC
• Mohamed Ashraf Elsawaf, MD

• Oral and Maxillofacial Surgery (Dentist) in Ocean, NJ
• Providers in Ocean, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.