Auerbach, Jason Michael

Auerbach, Jason Michael is an sole proprietor health care provider with primary practice located at 130 Kinderkamack Rd Suite 204, River Edge NJ 07661-1931. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Auerbach, Jason Michael can be contacted via phone (201) 487-6565.

Contact Information

Primary practice address
130 Kinderkamack Rd Suite 204 River Edge NJ 07661-1931
Phone: (201) 487-6565
Fax: (201) 487-4229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DI02230000 New Jersey
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 048765-1 New York

Profile Details

NPI number 1336112648
LBN Legal business name Auerbach, Jason Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Nov 6th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336112648 NPPES
New York MEDICAID 02289509

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