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Active NPI 1235385055 Individual Practitioner Male Practitioner

Dr. Jacob John , DDS

Dentist • Suffern, NY

Professional Overview & Biography Verified Profile Summary

Dr. Jacob John, DDS is a registered healthcare professional specializing in Dentist in Suffern, NY. Practice services are available at 156 ROUTE 59 STE A1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

156 Route 59 Ste A1

Suffern, NY 109015013

Telephone 8453568844
Fax 8455472218
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Suffern, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
14 Specialists

Practicing in Suffern, NY (6355 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: 2026-03-27
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 054091

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID New York State Dental License
054091 (NY)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Edsel Tarife , DDS

Dentist - General Practice

NPI 1235451642

Doctor of Dental Surgery

NPI 1538335484

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 27, 2026

Registered at 156 ROUTE 59 STE A1, SUFFERN, NY 109015013 (Tel: 8453568844)

📍
Updated Business Mailing Address March 27, 2026

Registered at 9 DUNMORE RD, NEW CITY, NY 109564407 (Tel: 9177423081)

NPI Profile Active August 15, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2008

Registered at 37 TRIANGLE RD, LIBERTY, NY 127543371 (Tel: 8452923900)

📍
Updated Business Mailing Address August 15, 2008

Registered at 701 BLOODGOOD CT, CENTRAL VALLEY, NY 109173626 (Tel: 9177423081)

👤
Provider Name / Credentials Updated August 15, 2008

Recorded as JACOB JOHN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2008

Dentist (License #054091 in NY)

🟢
Initial NPI Registration & Enumeration August 12, 2008

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: 1235385055
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2008
Last Update: March 27, 2026
Sole Proprietor: No

Mailing Address

9 Dunmore Rd

New City, NY 109564407

Phone: 9177423081

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.