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DR. THEODORE A NIEBLOOM DMD
NPI 1689750705
Dentist - Oral and Maxillofacial Surgery in West Orange, NJ

Active since October 31, 2006
101 OLD SHORT HILLS ROAD, WEST ORANGE, NJ 07052(973) 736-7616(973) 325-3487 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Theodore A Niebloom Dmd NPPES

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

DR. THEODORE A NIEBLOOM DMD (NPI 1689750705) is an individual oral and maxillofacial surgery provider in West Orange, New Jersey, licensed in New Jersey (22DI01604200) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1689750705
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. THEODORE A NIEBLOOMCredential: DMD
Location Address101 OLD SHORT HILLS ROADWest Orange, NJ 07052
Mailing Address101 Old Short Hills RoadWest Orange, NJ 07052 · (973) 736-7616 · Fax (973) 325-3487
Phone(973) 736-7616
Fax(973) 325-3487
Sole ProprietorNo
Enumeration DateOctober 31, 2006
Last NPPES UpdateOctober 5, 2016
✔ NPI 1689750705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NJ · 22DI01604200
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
101 OLD SHORT HILLS ROAD, West Orange, NJ 07052
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Other Identifiers 2

Medicare PIN138026NJ
Medicare UPINU29981NJ

Accepted Insurance

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

Other Providers at the Same Location NPPES 18

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

JENNIFER JAMES NORTON PT
Physical Therapist
101 OLD SHORT HILLS ROAD, SUITE 210
WEST ORANGE, NJ 07052
Essex County (973) 322-6363
DR. ALEX G POPKO D.O.
Obstetrics & Gynecology
101 OLD SHORT HILLS ROAD, SUITE 101
WEST ORANGE, NJ 07052
Essex County (973) 736-1100
PROFESSIONAL ASSOCIATES IN SURGERY, LLP
Surgery
101 OLD SHORT HILLS ROAD, SUITE 206
WEST ORANGE, NJ 07052
Essex County (973) 731-5005
DR. CYRUS J AMATO D.D.S.
Dentist (Oral and Maxillofacial Surgery)
101 OLD SHORT HILLS ROAD, PENTHOUSE II
WEST ORANGE, NJ 07052
Essex County (973) 736-7616
MARISA BUONANNO HAMRAH NP
Nurse Practitioner (Women's Health)
101 OLD SHORT HILLS ROAD, SUITE 400
WEST ORANGE, NJ 07052
Essex County (973) 243-9300
SUNIL SAPRU MD
Internal Medicine
101 OLD SHORT HILLS ROAD, SUITE 106
WEST ORANGE, NJ 07052
Essex County (973) 322-6256
YVETTE A BRIDGES M D P A
Obstetrics & Gynecology
101 OLD SHORT HILLS ROAD, SUITE 505
WEST ORANGE, NJ 07052
Essex County (973) 731-9047
METROPOLITAN CRANIOFACIAL CENTER
Dentist (Oral and Maxillofacial Surgery)
101 OLD SHORT HILLS ROAD, PENTHOUSE II
WEST ORANGE, NJ 07052
Essex County (973) 736-7616

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 Theodore Niebloom's NPI number?

The NPI number for Theodore Niebloom is 1689750705. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Theodore Niebloom located?

Theodore Niebloom practices at 101 Old Short Hills Road, West Orange, NJ 07052. The listed phone number is (973) 736-7616.

What is Theodore Niebloom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Theodore Niebloom accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Theodore Niebloom 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 Theodore Niebloom was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.