Jacob Weichbrod, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02336601 Issued in NJ

Practice address

46 Market St
Clifton, NJ 07012-2404

Phone

(973) 365-2265

NPI assigned

Oct 19, 2007

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Allwood Family Dentistry

  • General Practice Dentistry
  • Clifton, NJ
  • NPI 1205956539
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1639368269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MARKET ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070122404",
            "telephone_number": "973-365-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 MARKET ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070122404",
            "telephone_number": "973-365-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEICHBROD",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02336601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Wanio
• Bindu C Warner
• Roger Nelson Warren, D.D.S.
• Beth Alyse Watchman, PH.D.
• Yongfeng Wei, DMD
• Shira Wein
• Shari Weiner, OTR
• Evan Weingarten, DDS
• Sarah E Weinreich
• Naomi Joyce Weinshenker, M.D.

• Dentist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.