| Dr Gregg Andrew Jacob, DMD | |
|
83 Hanover Rd Ste 240, Florham Park, NJ 07932-1508 | |
| (973) 360-1100 | |
| (973) 360-1101 |
| Full Name | Dr Gregg Andrew Jacob |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 83 Hanover Rd Ste 240, Florham Park, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164540233 | NPI | - | NPPES |
| 91001810700 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22DI02252800 (New Jersey) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 054217-1 (New York) | Secondary |
| Entity Name | New York Comprehensive Orthognathic And Maxillofacial Surgery Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699782219 PECOS PAC ID: 8325045636 Enrollment ID: O20080710000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregg Andrew Jacob, DMD 83 Hanover Rd Ste 240, Florham Park, NJ 07932-1508 Ph: (973) 360-1100 | Dr Gregg Andrew Jacob, DMD 83 Hanover Rd Ste 240, Florham Park, NJ 07932-1508 Ph: (973) 360-1100 |
Dr. Vineet V. Sohoni, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 140 Columbia Tpke, Florham Park, NJ 07932 Phone: 973-377-4212 | |
Dr. Jeannette G Glass-brudzinski, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 220 Ridgedale Ave, Suite B1, Florham Park, NJ 07932 Phone: 917-957-4638 | |
Dr. Twisha P Patel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 Ridgedale Ave # 104, Florham Park, NJ 07932 Phone: 973-377-2222 | |
Dr. Mark James Gleckner, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 66 Ridgedale Ave, Florham Park, NJ 07932 Phone: 973-377-1174 Fax: 973-377-4721 | |
Dr. James Lawrence Silverman, D.M.D., M.A.G.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 149 Ridgedale Ave, Florham Park, NJ 07932 Phone: 973-377-1495 Fax: 973-377-9094 | |
Dr. Roger H. Zenn, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 123 Columbia Tpke, Suite 101-b, Florham Park, NJ 07932 Phone: 973-377-7007 |