Active NPI
Jay Albanese, DDS, MD
- Oral and Maxillofacial Surgery (Dentist)
- Kennett Square, PA
National Provider Identifier
1629395264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS039439
- Practice address
- 300 Old Forge LN Ste 301
Kennett Square, PA 19348-1897 - Phone
- (484) 926-6001
- Fax
- (484) 926-6002
- NPI assigned
- Apr 21, 2010
- Last updated
- Feb 26, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS039439 | PA | Primary |
| Surgery Physician | 208600000X | MD457711 | PA |
Addresses
Primary practice location
300 Old Forge LN Ste 301
Kennett Square, PA 19348-1897
Mailing address
300 Old Forge LN Ste 301
Kennett Square, PA 19348-1932
Phone (484) 926-6001
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039439 | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
| MD457711 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albanese Oral & Maxillofacial Surgery PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
300 Old Forge Ln
Ste 301
Kennett Square, PA 19348
Phone (484) 926-6001
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Kennett Square, PA
- NPI 1336748870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1629395264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 OLD FORGE LN STE 301",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193481932",
"telephone_number": "484-926-6001",
"fax_number": "484-926-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OLD FORGE LN STE 301",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193481897",
"telephone_number": "484-926-6001",
"fax_number": "484-926-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBANESE",
"first_name": "JAY",
"credential": "DDS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-21",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS039439",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD457711",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennett Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.