Jeffrey Lee Schupper, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI17054 Issued in NJ

Practice address

1450 Clements Bridge Rd
Woodbury, NJ 08096-3067

Phone

(856) 845-6222

Fax

(856) 853-9155

NPI assigned

Jan 24, 2007

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

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.

• Family Dental Care of South Jersey

  • General Practice Dentistry
  • Voorhees, NJ
  • NPI 1457680225
  NPD (past) Authorized official
• Pathmark Stores Inc

  • Pharmacy
  • Staten Island, NY
  • NPI 1558461590
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448064000000",
    "number": "1700931615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 HADDONFIELD BERLIN RD",
            "address_2": "UNIT B",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433714",
            "telephone_number": "856-309-2244",
            "fax_number": "856-309-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CLEMENTS BRIDGE RD",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963067",
            "telephone_number": "856-845-6222",
            "fax_number": "856-853-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUPPER",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI17054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lee Schmidt, MA, LPC
• Shelly Robin Schneider, APN,C
• Katherine Anne Schultes, MD
• Julianna Bays Boswell Schultheis, PT
• Christina Catherine Schulz, NCC
• David Schwartz, MD
• Jennifer Schwartz
• Scott a Brown, D.C. P.a
• Monica Janel Scott, PT
• Gady Ross Segal, DMD

• General Practice Dentistry in Woodbury, NJ
• Providers in Woodbury, 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 Nov 21, 2015; 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.