Individual provider Active NPI

Jeffrey A. Hankinson, DMD

  • General Practice Dentistry
  • Short Hills, NJ
National Provider Identifier
1629072988
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01292400 Issued in NJ
Practice address
58 Chatham Rd
Short Hills, NJ 07078-2321
Phone
(973) 376-5268
Fax
(973) 376-5749
NPI assigned
Jun 2, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI01292400 NJ Primary

Addresses

Primary practice location

58 Chatham Rd
Short Hills, NJ 07078-2321

Mailing address

20 Knob Hill Dr
Summit, NJ 07901-3025
Phone (908) 277-2925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150420001329 NJ Order and Referring Only - DentistPractitioner - Dentist 9537487715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI01292400NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629072988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 KNOB HILL DR",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013025",
            "telephone_number": "908-277-2925",
            "fax_number": "973-376-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CHATHAM RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782321",
            "telephone_number": "973-376-5268",
            "fax_number": "973-376-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKINSON",
        "first_name": "JEFFREY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01292400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Short Hills, NJ

Sources for this page

Verify at the official NPI Registry.