Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598419079 Individual Practitioner Female Practitioner

Jaclyn Kirshbaum

Dentist - General Practice • Paterson, NJ

Professional Overview & Biography Verified Profile Summary

Jaclyn Kirshbaum is a registered healthcare professional specializing in Dentist - General Practice in Paterson, NJ. Practice services are available at 140 MARKET ST FL 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

140 Market St Fl 2

Paterson, NJ 075051471

Telephone 9737424200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Paterson, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
39 Specialists

Practicing in Paterson, NJ (4316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI03065000

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License MD LL908

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
119591300 (MD)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Elana Wolf , DMD

Dentist - Pediatric Dentistry

NPI 1154533479

Doctor of Dental Medicine

NPI 1235023672

Doctor of Dental Surgery

Dr. Harvey Hanna , DDS

Dentist - General Practice

NPI 1295969806

Doctor of Dental Surgery

Dr. Robert Giaquinta , DDS

Dentist - General Practice

NPI 1407818099

Doctor of Dental Surgery

Dr. Robert Grunstein , DMD

Dentist - General Practice

NPI 1487866794

Doctor of Dental Medicine

Dr. Rebecca Feder-Stamler , DMD

Dentist - General Practice

NPI 1528352226

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 23, 2024

Registered at 140 MARKET ST FL 2, PATERSON, NJ 075051471 (Tel: 9737424200)

📍
Updated Business Mailing Address September 23, 2024

Registered at 140 MARKET ST FL 2, PATERSON, NJ 075051471 (Tel: 9737424200)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2024

Dentist (License #LL908 in MD)

📍
Updated Practice Location June 16, 2022

Registered at 12165 ELM ST, PRINCESS ANNE, MD 218531358 (Tel: 4106515151)

📍
Updated Business Mailing Address June 16, 2022

Registered at PO BOX 1978, SALISBURY, MD 218021978 (Tel: 4106515151)

NPI Profile Active February 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2022

Registered at 27005 76TH AVE, NEW HYDE PARK, NY 110401402 (Tel: 7184703076)

📍
Updated Business Mailing Address February 04, 2022

Registered at 27005 76TH AVE, NEW HYDE PARK, NY 110401402

👤
Provider Name / Credentials Updated February 04, 2022

Recorded as JACLYN KIRSHBAUM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 04, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598419079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2022
Last Update: September 23, 2024
Sole Proprietor: Yes

Mailing Address

140 Market St Fl 2

Paterson, NJ 075051471

Phone: 9737424200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.