Individual provider Active NPI

Jeffrey David Litman, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Marlton, NJ
National Provider Identifier
1750669800
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI02447200 Issued in NJ
Practice address
475 Marlton Pike W
Marlton, NJ 08053-2098
Phone
(856) 983-0202
Fax
(856) 983-8990
NPI assigned
Jul 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 22DI02447200 NJ Primary

Addresses

Primary practice location

475 Marlton Pike W
Marlton, NJ 08053-2098

Mailing address

475 Old Marlton Pike W Ste 1
Marlton, NJ 08053-2089
Phone (856) 983-0202

Other practice location 1

25 Jackson Rd
Medford, NJ 08055-9220
Phone (609) 654-2000

Other practice location 2

400 N Church St Ste 140
Moorestown, NJ 08057-1700
Phone (856) 722-0101

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL haddonoralSurgeons.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230921000862 NJ Practitioner - Oral Surgery 9739533019

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Rutgers School of Dental Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

475 Old Marlton Pike W
Marlton, NJ 08053-2089

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02447200NJMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Sydell Oral Surgery, LLC Oral and Maxillofacial Surgery Current Accepting new patients
Daniel J. Daley Jr, DDS, PC Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 2

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": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1750669800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 OLD MARLTON PIKE W STE 1",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532089",
            "telephone_number": "856-983-0202",
            "fax_number": "856-983-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 MARLTON PIKE W",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532098",
            "telephone_number": "856-983-0202",
            "fax_number": "856-983-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Jackson Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080559220",
            "country_code": "US",
            "telephone_number": "609-654-2000",
            "fax_number": "609-714-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Church St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080571700",
            "country_code": "US",
            "telephone_number": "856-722-0101",
            "fax_number": "856-722-9674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITMAN",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02447200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "haddonoralSurgeons.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "475 Marlton Pike W",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.