Andrew Doberstein, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02910800 Issued in NJ

Practice address

438 Ganttown Rd Ste B2
Sewell, NJ 08080-1887

Phone

(856) 589-4300

NPI assigned

Jun 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1841920618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 TALL PINES LN",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190441802",
            "telephone_number": "856-589-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 GANTTOWN RD STE B2",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801887",
            "telephone_number": "856-589-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBERSTEIN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043606",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02910800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred M Dipiero, DO
• Daniel J Disabatino, PT
• Joseph Discienza, MPT
• Theresa Marie Ditizio, DPT
• Divine Individualized Supports
• Brielle Dolan
• Kelly Donegan, APN
• Sohil Shailesh Doshi, MD
• Barbara Dougherty, D.O.
• Adeline M Dove, PT, DPT

• Dentist in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.