Jerry N Falk, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D101091100 Issued in NJ

Practice address

15 Carrs Tavern Rd
Clarksburg, NJ 08510-1505

Phone

(609) 259-3250

Fax

(609) 259-7738

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jerry N. Falk, DMD

  • Dentist
  • Clarksburg, NJ
  • NPI 1437514106
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972622496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DOE CT",
            "city": "CLARKSBURG",
            "state": "NJ",
            "postal_code": "085101510",
            "telephone_number": "609-259-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CARRS TAVERN RD",
            "city": "CLARKSBURG",
            "state": "NJ",
            "postal_code": "085101505",
            "telephone_number": "609-259-3250",
            "fax_number": "609-259-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "JERRY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D101091100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2978903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CPC Behavioral Healthcare, Inc
• Ellen Deckoff, LCSW
• Frances Anne Erndl, M.A, LAT, ATC
• Ramona Estrin
• Allyson K Falk, D.D.S.
• Carrie Friedman, OTD, OTR/L
• Perry Grossi
• Integrated Hearts Counseling and Consultation
• Jerry N. Falk, DMD
• Silvia Marinello-Dimino, MACCC-SLP

• General Practice Dentistry in Clarksburg, NJ
• Providers in Clarksburg, 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 Jul 8, 2007; 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.