Jacob Elias, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02944800 Issued in NJ

Practice address

195 US-46
Totowa, NJ 07512

Phone

(973) 256-3300

NPI assigned

Mar 29, 2022

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Woodland Park Dental Centers

  • Dentist
  • Woodland Park, NJ
  • NPI 1346786506
  NPD (past)

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1700526720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 VAN HOUTEN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132714",
            "telephone_number": "201-469-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 US-46",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "07512",
            "telephone_number": "973-256-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 Ridge Road",
            "address_purpose": "LOCATION",
            "city": "Lyndhurst",
            "state": "NJ",
            "postal_code": "07071",
            "country_code": "US",
            "telephone_number": "201-935-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "JACOB",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02944800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Educational & Behavioral Health Services Corp
• Edward R Jacobs OD PC
• Dana Edwards, DPT
• Ehrenworth & Goldsmith
• Heather Baker Elepano
• Maurice Elias, M.D.
• Elite Family Wellness Center, LLC
• Elite Spine and Sports Care of Totowa
• Sara Emara, DDS
• Emergence Counseling Center

• General Practice Dentistry in Totowa, NJ
• Providers in Totowa, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.