DR. DAVID P JACOBSON (NPI# 1407109382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407109382 |
| Entity Type | Individual |
| Full Name | DR. DAVID P JACOBSON |
| Credential | DDS |
| Practice Address |
870 Palisade Ave Ste 303 Teaneck NJ 07666-3446 |
| Mailing Address |
444 E 82nd St Apt #1-s New York NY 10028-5903 |
| Practice Telephone | 2018368000 |
| Mailing Telephone | 2127376112 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2014-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 25088 | NJ | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
057585 | NY | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
06350 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821405093 | David Jacobson | Occupational Therapy Assistant | 1605 Anderson St Apt A, College Station, TX 77840-4464 | 2014-07-18 |
| 1114215159 | David M Jacobson | Social Worker | 2701 S 77 Sunshinestrip, Harlingen, TX 78550-8318 | 2011-07-12 |
| 1538278031 | David Scott Jacobson | Dentist | 125 Shops Way, Biddeford, ME 04005-9436 | 2006-08-29 |
| 1760926299 | David James Jacobson | Counselor | 4795 Opal Cliff Dr, Santa Cruz, CA 95062-5229 | 2016-12-19 |
| 1043650153 | David Thompson Jacobson | Pharmacist | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2013-07-03 |
| 1194000232 | David Richard Jacobson | Pharmacist | 2700 New Pinery Rd, Portage, WI 53901-9221 | 2011-10-20 |
| 1386924785 | David Scott Jacobson | Dentist | 701 25th Ave S Ste 400, Minneapolis, MN 55454 | 2011-08-17 |
| 1306154703 | David M Jacobson | Family Medicine | 1600 North Main, Lovington, NM 88260-2830 | 2010-09-20 |
| 1689823775 | David Jacobson | Counselor | 1236 Chapala St, Santa Barbara, CA 93101-3116 | 2008-09-12 |
| 1255532974 | David Brian Jacobson | Dentist | 1 W 34th St, Suite 1204, New York, NY 10001-3011 | 2007-05-30 |
| Street Address |
870 PALISADE AVE STE 303 |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821127580 | Mariya Rozenblum | Dentist | 185 Cedar Ln Ste L7, Teaneck, NJ 07666-4303 | 2007-03-05 |
| 1659607299 | Foundation Endodontics | Dentist | 870 Palisade Ave, Suite #303, Teaneck, NJ 07666-3419 | 2009-11-01 |
| 1861652398 | Michael J Lewis | Dentist | 870 Palisade Ave, Suite #303, Teaneck, NJ 07666-3419 | 2008-06-09 |
| 1720175912 | Jack Levi Dds Pa | Dentist | 185 Cedar Ln, Suite L7, Teaneck, NJ 07666-4316 | 2006-10-07 |
| 1982791166 | Jack Levi | Dentist | 185 Cedar Ln, Suite L7, Teaneck, NJ 07666-4316 | 2006-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225676018 | Encore Dental of Toms River | Dentist | 1220 Hooper Avenue, Toms River, NJ 08753 | 2019-12-12 |
| 1184276990 | Abc Family Smiles LLC | Dentist | 252 Madison Ave Ste 106, Perth Amboy, NJ 08861-4314 | 2019-07-11 |
| 1235638347 | Essex Endodontics PC | Dentist | 460 Bloomfield Ave Ste 311, Montclair, NJ 07042-3552 | 2018-02-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1366964017 | Sussex County Endodontics, PC | Dentist | 63 Newton Sparta Rd Ste 201, Newton, NJ 07860-2815 | 2017-07-14 |
| 1477916724 | Shayna Nicole Whiteman | Dentist | 141 Us Highway 46 Lowr Level, Rockaway, NJ 07866-4018 | 2016-04-04 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1366870198 | Sudharani Bodepudi | Dentist | 354 Lunar Rd, Piscataway, NJ 08854-5469 | 2013-10-14 |
| 1558700195 | Batastini Orthodontics, PC | Dentist | 69 Haddonfield - Berlin Road, Cherry Hill, NJ 08034 | 2013-06-17 |
| 1659612158 | Atlantic Endodontics LLC | Dentist | 235 E. Jimmie Leeds Road, Galloway, NJ 08205 | 2013-03-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.