Organization Active NPI

Jeffrey a. Kimelman, DMD, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Sewell, NJ
National Provider Identifier
1609948041
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
16154 Issued in NJ
Legal business name
JEFFREY A. KIMELMAN, DMD, PC
Practice address
123 Egg Harbor Road
Suite 500
Sewell, NJ 08080
Phone
(856) 227-8888
Fax
(856) 227-8001
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Dr. Jeffrey A Kimelman, DMDNPI 1952741837
Title
President
Phone
(856) 227-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 16154 NJ Primary

Addresses

Primary practice location

123 Egg Harbor Road
Suite 500
Sewell, NJ 08080

Mailing address

123 Egg Harbor Road
Suite 500
Sewell, NJ 08080
Phone (856) 227-8888

National Provider Directory

National Provider Directory

Locations

123 Egg Harbor Rd
Ste 500
Sewell, NJ 08080
Phone (856) 227-8888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1609948041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR ROAD",
            "address_2": "SUITE 500",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080",
            "telephone_number": "856-227-8888",
            "fax_number": "856-227-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR ROAD",
            "address_2": "SUITE 500",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080",
            "telephone_number": "856-227-8888",
            "fax_number": "856-227-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A. KIMELMAN, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "KIMELMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-227-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "16154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.