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DR. ALVIN CHARLES JACOBS DDS
NPI 1720237902
Dentist - General Practice in Fort Lee, NJ

Active since September 12, 2008Opted out of Medicare · through Mar 14, 2028
1625 ANDERSON AVE, SUITE 301, FORT LEE, NJ 07024(201) 944-1331(201) 585-2041 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Alvin Charles Jacobs Dds NPPES

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

DR. ALVIN CHARLES JACOBS DDS (NPI 1720237902) is an individual general practice provider in Fort Lee, New Jersey, licensed in New Jersey (D09243) and active in the NPI registry since September 2008. He has opted out of Medicare through March 14, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720237902
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ALVIN CHARLES JACOBSCredential: DDS
Location Address1625 ANDERSON AVE, SUITE 301Fort Lee, NJ 07024-2748
Mailing Address1625 Anderson Ave, Suite 301Fort Lee, NJ 07024-2748 · (201) 944-1331 · Fax (201) 585-2041
Phone(201) 944-1331
Fax(201) 585-2041
Sole ProprietorYes
Enumeration DateSeptember 12, 2008
✔ NPI 1720237902 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 · D09243
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.

1625 ANDERSON AVE, Fort Lee, NJ 07024
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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. Alvin Charles Jacobs Dds 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 14, 2016 through March 14, 2028.

Opt-Out Effective DateMarch 14, 2016
Opt-Out In Effect ThroughMarch 14, 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 07024 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 20

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

RICHARD JUSTIN GALLO MD
Internal Medicine
1625 ANDERSON AVE
FORT LEE, NJ 07024
Bergen County (201) 944-7676
DIWALI LLC
Surgery (Vascular Surgery)
1625 ANDERSON AVE, ROOM 203
FORT LEE, NJ 07024
Bergen County (201) 224-1100
DR. REBECCA FEI-TI LIU DDS
Dentist
1625 ANDERSON AVE, SUITE 302
FORT LEE, NJ 07024
Bergen County (201) 585-0947
DR. MIWAKO KIMURA D.D.S.
Dentist
1625 ANDERSON AVE, SUITE 302
FORT LEE, NJ 07024
Bergen County (201) 585-0847
PHILIP KREVITT DMD PA
Dentist (Prosthodontics)
1625 ANDERSON AVE
FORT LEE, NJ 07024
Bergen County (201) 944-1260
SALVATORE M. LARAIA, MD, PA
Internal Medicine
1625 ANDERSON AVE, SUITE 304
FORT LEE, NJ 07024
Bergen County (201) 944-7676
JPW DENTAL LLC
Dentist
1625 ANDERSON AVE, STE 302
FORT LEE, NJ 07024
Bergen County (201) 585-0847
JULIA IGDALEV DDS
Dentist
1625 ANDERSON AVE, STE 202
FORT LEE, NJ 07024
Bergen County (201) 224-9444

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 Alvin Jacobs's NPI number?

The NPI number for Alvin Jacobs is 1720237902. It was assigned to this individual provider in the NPPES registry on September 12, 2008.

Where is Alvin Jacobs located?

Alvin Jacobs practices at 1625 Anderson Ave Suite 301, Fort Lee, NJ 07024. The listed phone number is (201) 944-1331.

What is Alvin Jacobs's specialty?

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

Is Alvin Jacobs enrolled in Medicare?

No. Alvin Jacobs has opted out of Medicare through March 14, 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 Alvin Jacobs was last updated on September 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.