Individual provider Active NPI

Jeffrey David Shapiro, D.D.S.

  • Dentist
  • Jamesburg, NJ
National Provider Identifier
1992065288
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI02501600 Issued in NJ
Practice address
6 Half Acre Rd
Jamesburg, NJ 08831-1115
Phone
(732) 521-4311
NPI assigned
May 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI02501600 NJ 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

Other practice location 1

769 Northfield Ave Ste 154
West Orange, NJ 07052-1106
Phone (973) 736-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250520005037 NJ Practitioner - Dentist 3274803044 Reassigns benefits to 1 organization
O20260109001190 NJ DME Supplier - Oral Surgery - Dentist 7012435282 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
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI02501600NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Shapiro DDS PC CurrentSince Sep 19, 2020 Accepting new patients
Northfield Dental Group PastSince Sep 17, 2010 Accepting new patients

Locations

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1992065288",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "769 Northfield Ave Ste 154",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070521106",
            "country_code": "US",
            "telephone_number": "973-736-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI02501600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamesburg, NJ

Sources for this page

Verify at the official NPI Registry.