DR. JEFFREY EDWIN DEVACK D.D.S.
NPI 1033276175
Dentist - Periodontics in Wayne, NJ

Active since January 01, 2007Opted out of Medicare · through Mar 1, 2028
95 PACKANACK LAKE RD, WAYNE, NJ 07470(973) 696-5333 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeffrey Edwin Devack D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY EDWIN DEVACK D.D.S. (NPI 1033276175) is an individual periodontics provider in Wayne, New Jersey, licensed in New Jersey (10002) and active in the NPI registry since January 2007. He has opted out of Medicare through March 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1033276175
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JEFFREY EDWIN DEVACKCredential: D.D.S.
Location Address95 PACKANACK LAKE RDWayne, NJ 07470-7420
Mailing Address95 Packanack Lake RdWayne, NJ 07470-7420 · (973) 696-5333
Sole ProprietorYes
Enumeration DateJanuary 1, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1033276175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in NJ · 10002
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

95 PACKANACK LAKE RD, Wayne, NJ 07470

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jeffrey Edwin Devack D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2016 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2016
Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
95 PACKANACK LAKE RD
WAYNE, NJ 07470
Dentist
95 PACKANACK LAKE RD
WAYNE, NJ 07470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Devack's NPI number?

The NPI number for Jeffrey Devack is 1033276175. It was assigned to this individual provider in the NPPES registry on January 1, 2007.

Where is Jeffrey Devack located?

Jeffrey Devack practices at 95 Packanack Lake Rd, Wayne, NJ 07470. The listed phone number is (973) 696-5333.

What is Jeffrey Devack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jeffrey Devack enrolled in Medicare?

No. Jeffrey Devack has opted out of Medicare through March 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeffrey Devack was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.