Active NPIIndividual providerSole proprietor

Dr. Sanford Jacoby, DMD

Dentist, General Practice in Fair Lawn, New Jersey

NPI Number1194821421
Practice location
32-16 Broadway, Fair Lawn, NJ 07410
Fax
—
Last updated
December 20, 2011

Sanford Jacoby is a Dentist, General Practice based in Fair Lawn, NJ. Sanford Jacoby practices in Fair Lawn, NJ and has the professional credentials of DMD. The NPI Number for Sanford Jacoby is 1194821421 and holds a License No. 22879 (NJ). The current practice location address for Sanford Jacoby is 32-16 Broadway, Fair Lawn, NJ 07410 and can be reached out via phone at 201-796-3071.

Provider Profile Details

NPI Number
1194821421
Provider Name
Sanford Jacoby
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
32-16 Broadway, Fair Lawn, NJ 07410
Phone Number
201-796-3071
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
September 15, 2006
Last Update Date
December 20, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
32-16 Broadway
Fair Lawn, NJ 07410
Zip
07410
Phone Number
201-796-3071
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
265-02 74TH Ave
Glen Oaks, NY 11004
City
Glen Oaks
State
NY
Zip
11004
Phone Number
917-803-4200

License Information

License Number (1)
22879
License State (1)
NJ
Taxonomy (1)
Dentist, General Practice · 1223G0001X · Primary
License Number (2)
050481
License State (2)
NY
Taxonomy (2)
Dentist, General Practice · 1223G0001X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Sanford Jacoby, DMD?

The NPI number of Dr. Sanford Jacoby, DMD is 1194821421. It was assigned on September 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Sanford Jacoby, DMD?

Dr. Sanford Jacoby, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22879.

Where does Dr. Sanford Jacoby, DMD practice?

The practice location is 32-16 Broadway, Fair Lawn, NJ 07410. The office can be reached at 201-796-3071 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194821421 directly on the NPPES registry website.

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