Active NPI
Ira D Cheifetz, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Mercerville, NJ
National Provider Identifier
1679669642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 22DI01074700
- Practice address
- 2303 Whitehorse Mercerville Road
Mercerville, NJ 08619-1664 - Phone
- (609) 587-2900
- Fax
- (609) 587-1749
- NPI assigned
- Oct 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22DI01074700 | NJ | Primary |
Addresses
Primary practice location
2303 Whitehorse Mercerville Road
Mercerville, NJ 08619-1664
Mailing address
2303 Whitehorse Mercerville Road
Mercerville, NJ 08619-1664
Phone (609) 587-2900
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI01074700 | NJ | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral & Maxillofacial Surgery of Central NJ | Oral and Maxillofacial Surgery | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Mercerville, NJ
- NPI 1649249897
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679669642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2303 WHITEHORSE MERCERVILLE ROAD",
"city": "MERCERVILLE",
"state": "NJ",
"postal_code": "086191664",
"telephone_number": "609-587-2900",
"fax_number": "609-587-1749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 WHITEHORSE MERCERVILLE ROAD",
"city": "MERCERVILLE",
"state": "NJ",
"postal_code": "086191664",
"telephone_number": "609-587-2900",
"fax_number": "609-587-1749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEIFETZ",
"first_name": "IRA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NJ",
"license": "22DI01074700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mercerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.