DR. JEFFREY MICHAEL DESIMONE DDS
NPI 1467148858
Dentist - General Practice in Randolph, NJ

Q: What is Jeffrey Desimone's NPI number?

The NPI number for Jeffrey Desimone is 1467148858. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Q: What is Jeffrey Desimone's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Desimone was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2023

393 QUAKER CHURCH RD, RANDOLPH, NJ 07869(862) 397-3434(862) 397-3435 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jeffrey Michael Desimone Dds NPPES

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

DR. JEFFREY MICHAEL DESIMONE DDS (NPI 1467148858) is an individual general practice provider in Randolph, New Jersey, licensed in New Jersey (22DI02930200) and active in the NPI registry since April 2023. He maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1467148858

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JEFFREY MICHAEL DESIMONECredential: DDS

Location Address393 QUAKER CHURCH RDRandolph, NJ 07869-1319

Mailing Address83 Elm PlNutley, NJ 07110-1201 · (973) 454-7260

Phone(862) 397-3434

Fax(862) 397-3435

Sole ProprietorNo

Enumeration DateApril 18, 2023

NPPES CertifiedApril 17, 2023

✔ NPI 1467148858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NJ · 22DI02930200

Definition

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.

393 QUAKER CHURCH RD, Randolph, NJ 07869

Open in Google Maps ↗

Secondary Practice Location 1

Location 1325 Central AveOrange, NJ 07050-2407 · Phone (973) 676-3700 · Fax (973) 676-3701

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 Desimone's NPI number?

The NPI number for Jeffrey Desimone is 1467148858. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Jeffrey Desimone located?

Jeffrey Desimone practices at 393 Quaker Church Rd, Randolph, NJ 07869. The listed phone number is (862) 397-3434.

What is Jeffrey Desimone's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jeffrey Desimone accept?

Health plans from Anthem Blue Cross and Blue Shield list Jeffrey Desimone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Desimone was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.