NPIMap

Individual provider Active NPI

Jeffrey Allan Horowitz, DDS MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Pottsville, PA
National Provider Identifier
1649251570
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS031220-L Issued in PA
Practice address
2257 W End Ave
Pottsville, PA 17901-1825
Phone
(570) 622-9746
Fax
(570) 622-3723
NPI assigned
Nov 8, 2005
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS031220L PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS031220-L PA Primary

Addresses

Primary practice location

2257 W End Ave
Pottsville, PA 17901-1825

Mailing address

2257 W End Ave
Pottsville, PA 17901-1825
Phone (570) 622-9746

Other identifiers 4

IdentifierTypeStateIssuer
484716OtherPAHIGHMARK BLUE SHIELD
0018170890001MedicaidPA
2438481OtherPAAETNA
50004506OtherPACAPITAL BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060801000207 PA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 8325051766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2257 W End Ave
Pottsville, PA 17901-1825
Phone (570) 622-9746

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DS031220-LPAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Pottsville Oral Surgery, PC Oral and Maxillofacial Surgery CurrentSince May 17, 2006 Accepting new patients
Associates in Oral & Maxillofacial Surgery Single Specialty Past Accepting new patients
Lehigh Anesthesia Associates, P.C. Single Specialty Past Accepting new patients

Locations

2257 W End Ave
Pottsville, PA 17901
Phone (570) 622-3723

Organizations & group practices 3

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.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1649251570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 W END AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011825",
            "telephone_number": "570-622-9746",
            "fax_number": "570-622-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 W END AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011825",
            "telephone_number": "570-622-9746",
            "fax_number": "570-622-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROWITZ",
        "first_name": "JEFFREY",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DDS MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS031220L",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS031220-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "484716",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018170890001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2438481",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50004506",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.