NEW JERSEY LASER DENTISTRY
NPI 1033395934
Clinic/Center - Dental in Teaneck, NJ

NPI Status: Active since January 10, 2008

Contact Information

751 TEANECK RD
C/0 DR JACOBSON 3RD FLOOR
TEANECK, NJ
ZIP 07666
Phone: (201) 837-1612
Fax: (201) 837-8651

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 31D2030280
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-25-2025

About NEW JERSEY LASER DENTISTRY

This page provides the complete NPI Profile along with additional information for New Jersey Laser Dentistry, a provider established in Teaneck, New Jersey operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1033395934 assigned on January 2008. The practitioner's primary taxonomy code is 261QD0000X with license number DI19069 (NJ). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Barry Laurence Jacobson Dmd (Owner)

NPI
1033395934
Provider Name
NEW JERSEY LASER DENTISTRY
Entity Type
Organization
Location Address
751 TEANECK RD C/0 DR JACOBSON 3RD FLOOR TEANECK, NJ 07666
Location Phone
(201) 837-1612
Location Fax
(201) 837-8651
Mailing Address
751 TEANECK RD TEANECK, NJ 07666
Mailing Phone
(201) 837-1612
Mailing Fax
(201) 837-8651
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2008
Last Update Date
01-10-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
DI19069
License State
NJ

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BARRY LAURENCE JACOBSON DMD

Authorized Official Title
OWNER
Authorized Official Phone
(201) 837-1612

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2030280
Facility Type
Physician Office
Certificate Effective Date
September 26, 2023
Certificate Expiration Date
September 25, 2025
Laboratory Director
EDWARD J. WOLF
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to New Jersey Laser Dentistry in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033395934
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063691096
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 6 + 9 + 1 + 0 + 9 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1033395934 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164417580DR. MICHAEL DENKER M.D.
Individual
Internal Medicine751 TEANECK RD
TEANECK, NJ 07666
(201) 837-3200
1134116148DR. PETER W. COPPOLA M. D.
Individual
Internal Medicine751 TEANECK RD
TEANECK, NJ 07666
(201) 837-3200
1174595987DR. ANDREW CARSON BROWN M.D.
Individual
Ophthalmology751 TEANECK RD
TEANECK, NJ 07666
(201) 833-0006
1588617971DR. ROBERT HENRY BROWN M.D.
Individual
Specialist751 TEANECK RD
TEANECK, NJ 07666
(201) 833-0006
1740206796DR. ROBERT STEPHEN BROWN M.D.
Individual
Ophthalmology751 TEANECK RD
TEANECK, NJ 07666
(201) 833-0006
1285650234DR. CHRISTOPHER DAVID BROWN M.D.
Individual
Specialist751 TEANECK RD
TEANECK, NJ 07666
(201) 833-0006
1215057930 RICCARDO PASCETTA
Individual
Eyewear Supplier751 TEANECK RD
TEANECK, NJ 07666
(201) 837-5599
1427258029MS. GERALDINE THERESA BOWE APN,C
Individual
Nurse Practitioner (Critical Care Medicine)751 TEANECK RD
TEANECK, NJ 07666
(201) 837-3200
1528256898WILTON OPTICAL, INC
Organization
Eyewear Supplier751 TEANECK RD
TEANECK, NJ 07666
(201) 837-5599
1538308952AFFILIATED FOOT & ANKLE SPEC OF TEANECK
Organization
Podiatrist (Foot & Ankle Surgery)751 TEANECK RD 1ST FLOOR
TEANECK, NJ 07666
(201) 238-1595
1811220296 JENNIFER PAIK D.D.S.
Individual
Dentist (Pediatric Dentistry)751 TEANECK RD
TEANECK, NJ 07666
(201) 837-1612
1790008951BROWN EYE CARE ASSOCIATES MD PA
Organization
Ophthalmology751 TEANECK RD
TEANECK, NJ 07666
(201) 833-0006
1679624084DR. MICHAEL FRIED D.D.S.
Individual
Dentist (General Practice)751 TEANECK RD
TEANECK, NJ 07666
(201) 837-1612
1649524794DR. AHRIN HUH D.D.S.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)751 TEANECK RD
TEANECK, NJ 07666
(201) 723-8371
1639331846DR. JESSICA YAEL BAITNER DMD
Individual
Dentist (Pediatric Dentistry)751 TEANECK RD
TEANECK, NJ 07666
(201) 837-1612
1922310804DR. PHILIP K LEE DMD
Individual
Dentist (Pediatric Dentistry)751 TEANECK RD
TEANECK, NJ 07666
(201) 837-1612
1861851511 MYUNG EUN MIN
Individual
Dentist (Pediatric Dentistry)751 TEANECK RD
TEANECK, NJ 07666
(201) 837-1612
1093833147METROHEALTH LLC LABORATORY
Organization
Clinical Medical Laboratory751 TEANECK RD GROUND FLOOR
TEANECK, NJ 07666
(201) 837-7144
1568580280METROHEALTH, LLC
Organization
Internal Medicine751 TEANECK RD
TEANECK, NJ 07666
(201) 837-3200
1992225791DR. JACKSON JEONG DDS
Individual
Dentist (Pediatric Dentistry)751 TEANECK RD
TEANECK, NJ 07666
(617) 834-0237

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033395934, enumerated in the NPI registry as an "organization" on January 10, 2008

The provider is located at 751 Teaneck Rd C/0 Dr Jacobson 3rd Floor Teaneck, Nj 07666 and the phone number is (201) 837-1612

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

The provider's CLIA number is 31D2030280 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on January 10, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.