Individual provider Active NPI

Jonathan Michel, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Mountain Lakes, NJ
National Provider Identifier
1699209700
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI02835400 Issued in NJ
Practice address
333 US Highway 46 Ste 2-7D
Mountain Lakes, NJ 07046-1743
Phone
(862) 298-5188
Fax
(862) 298-5189
NPI assigned
Apr 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI02835400 NJ Primary

Addresses

Primary practice location

333 US Highway 46 Ste 2-7D
Mountain Lakes, NJ 07046-1743

Mailing address

333 US Highway 46 Ste 2-7D
Mountain Lakes, NJ 07046-1743
Phone (862) 298-5188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Sep 9, 2022 through Sep 9, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02835400NJMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Craniofacial Center Oral and Maxillofacial Surgery CurrentSince Aug 14, 2022 Accepting new patients
ML Maxillofacial Surgery Oral and Maxillofacial Surgery CurrentSince Dec 14, 2025 Accepting new patients
Riverside Oral Surgery - West Orange Oral and Maxillofacial Surgery CurrentSince Aug 14, 2022 Accepting new patients

Locations

333 US Highway 46
Ste 27D
Mountain Lakes, NJ 07046
Phone (862) 298-5188

101 Old Short Hills Rd
Ph 2
West Orange, NJ 07052
Phone (973) 736-1714

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.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1699209700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 US HIGHWAY 46 STE 2-7D",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461743",
            "telephone_number": "862-298-5188",
            "fax_number": "862-298-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 US HIGHWAY 46 STE 2-7D",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461743",
            "telephone_number": "862-298-5188",
            "fax_number": "862-298-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "JONATHAN",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02835400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

Verify at the official NPI Registry.