Jeffrey M Doblin, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS027336-L Issued in PA

Practice address

103 Old Marlton Pike
Suite 200
Medford, NJ 08055

Phone

(609) 953-7123

NPI assigned

Feb 27, 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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 30, 2021 through Jun 30, 2027

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.

• Louis a D'Angelo, DMD, PC

  • Dentist
  • Medford, NJ
  • NPI 1720318512
  NPD (past)
• Dentistry at 1818 Market St

  • Advanced Practice Dental Therapist
  • Philadelphia, PA
  • NPI 1831642917
  NPD (past)
• Dentistry at 1818 Market Street

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1245364579
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1881721140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033638",
            "telephone_number": "215-567-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 OLD MARLTON PIKE",
            "address_2": "SUITE 200",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "08055",
            "telephone_number": "609-953-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBLIN",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS027336-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Didomenico
• Christina Difelice, PT
• Jeffrey S Dina, PA
• Mallory Dionne, PHARMD
• Alice Dipietro
• Sara Jean Dokhgan, LPC
• Tracy Hazen Doshi, OT,CHT
• Jaelyn Doyle
• Miranda Doyle
• Dr Brett Wartenberg PA

• Periodontics in Medford, NJ
• Providers in Medford, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.