Austin Joly Jacob, DMD - Medicare Dentist in Riverside, NJ

  1. Home
  2. Dentists
  3. NJ
  4. Riverside
Austin Joly Jacob, DMD is a medicare enrolled "Dentist" provider in Riverside, New Jersey. His current practice location is 123 S Pavilion Ave, Riverside, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 393-8510.

Austin Joly Jacob is licensed to practice in Pennsylvania (license number DS043994) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790495760.

Contact Information

Austin Joly Jacob, DMD
123 S Pavilion Ave,
Riverside, NJ 08075-3611
(856) 393-8510
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAustin Joly Jacob
GenderMale
SpecialityDentist
Location123 S Pavilion Ave, Riverside, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790495760
  • Provider Enumeration Date: 12/01/2022
  • Last Update Date: 02/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6204363609
  • Enrollment ID: I20241226000190

Medical Identifiers

Medical identifiers for Austin Joly Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790495760NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 22DI02940800 (New Jersey)Secondary
122300000XDentist DS043994 (Pennsylvania)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Austin Joly Jacob allows following entities to bill medicare on his behalf.
Entity NameQuality Community Health Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861490583
PECOS PAC ID: 6901821008
Enrollment ID: O20051007000534

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Austin Joly Jacob is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Austin Joly Jacob, DMD
123 S Pavilion Ave,
Riverside, NJ 08075-3611

Ph: (856) 393-8510		Austin Joly Jacob, DMD
123 S Pavilion Ave,
Riverside, NJ 08075-3611

Ph: (856) 393-8510

Reviews and Comments


Dentist in Riverside, NJ


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.