DR. JACK GRUBER D.D.S.
NPI 1609890151
Dentist - General Practice in New Hyde Park, NY

Q: What is Jack Gruber's NPI number?

The NPI number for Jack Gruber is 1609890151. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Jack Gruber'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 Jack Gruber was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 July 27, 2006PECOS Enrolled

1963 LAKEVILLE RD, NEW HYDE PARK, NY 11040(516) 437-6426 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jack Gruber D.d.s. NPPES

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

DR. JACK GRUBER D.D.S. (NPI 1609890151) is an individual general practice provider in New Hyde Park, New York, licensed in New York (39489) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609890151

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACK GRUBERCredential: D.D.S.

Location Address1963 LAKEVILLE RDNew Hyde Park, NY 11040-1972

Mailing Address1963 Lakeville RdNew Hyde Park, NY 11040-1972 · (516) 437-6426

Phone(516) 437-6426

Sole ProprietorYes

Enumeration DateJuly 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609890151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 39489

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.

1963 LAKEVILLE RD, New Hyde Park, NY 11040

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Gruber D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

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 Jack Gruber's NPI number?

The NPI number for Jack Gruber is 1609890151. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Jack Gruber located?

Jack Gruber practices at 1963 Lakeville Rd, New Hyde Park, NY 11040. The listed phone number is (516) 437-6426.

What is Jack Gruber's specialty?

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

Is Jack Gruber enrolled in Medicare?

Yes. Jack Gruber is registered in the Medicare PECOS enrollment system.

What insurance does Jack Gruber accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 3 other insurers list Jack Gruber 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 Jack Gruber was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.