NPIMap

Organization Active NPI

Jeffrey Shapiro DDS PC

  • Dental Clinic/Center
  • Jamesburg, NJ
National Provider Identifier
1740895713
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JEFFREY SHAPIRO DDS PC
Practice address
6 Half Acre Rd
Jamesburg, NJ 08831-1115
Phone
(732) 521-4311
Fax
(732) 521-3153
NPI assigned
Sep 15, 2020
Last updated
Sep 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Dr. Jeffrey Shapiro, DDSNPI 1992065288
Title
Owner/Dentist
Phone
(732) 986-5563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

6 Half Acre Rd
Jamesburg, NJ 08831-1115

Mailing address

6 Half Acre Rd
Jamesburg, NJ 08831-1115
Phone (732) 521-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250520005035 NJ Part B Supplier - Clinic/Group Practice 7012435282 Receives reassigned benefits from 1 practitioner
Practice locations: Jamesburg, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

6 Half Acre Rd
Jamesburg, NJ 08831
Phone (732) 521-4311

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1740895713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HALF ACRE RD",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311115",
            "telephone_number": "732-521-4311",
            "fax_number": "732-521-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HALF ACRE RD",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311115",
            "telephone_number": "732-521-4311",
            "fax_number": "732-521-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY SHAPIRO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "732-986-5563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamesburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.