MEDICARE: DR. BEVERLY JAISWAL DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DS043431	PA
2	122300000X	Dentist	22DI02504700	NJ

General Provider Information

NPI Number	:	1386991735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BEVERLY JAISWAL DMD

Provider Business Mailing Address
First Line	:	196 GROVE AVE
Second Line	:	SUITE F
City	:	WEST DEPTFORD
State	:	NJ
Zip	:	08086-2139
Country	:	US
Telephone Number	:	856-345-9490
Fax Number	:	856-579-7863

Provider Business Practice Location Address
First Line	:	196 GROVE AVE
Second Line	:	SUITE F
City	:	WEST DEPTFORD
State	:	NJ
Zip	:	08086-2139
Country	:	US
Telephone Number	:	856-345-9490
Fax Number	:	856-579-7863

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2012
Last Update Date	:	12/09/2021

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1225137797 — DR. ANJALI A DESAI MD
Practice Location Address:

196 GROVE AVE , SUITE C
WEST DEPTFORD, NJ
08086-2139

Practice Phone: 856-848-7577
Practice Fax: 856-848-6554

1598928608 — DR. YOUSSEF JOSEPHSON D.O
Practice Location Address:

196 GROVE AVE STE E
WEST DEPTFORD, NJ
08086-2139

Practice Phone: 856-900-0041
Practice Fax: 856-900-0042

1124365333 — ALYSON MCKAY STAHLER
Practice Location Address:

196 GROVE AVE STE C
WEST DEPTFORD, NJ
08086-2139

Practice Phone: 856-848-7577
Practice Fax:

1174240352 — MODERN SPINE AND PAIN PC
Practice Location Address:

196 GROVE AVE STE E
WEST DEPTFORD, NJ
08086-2139

Practice Phone: 856-900-0041
Practice Fax:

1548289929 — DR. ANN STURGIS ATKINSON O.D.
Practice Location Address:

196 GROVE AVE , SUITE D
THOROFARE, NJ
08086-2139

Practice Phone: 856-848-3020
Practice Fax: 856-845-7719

Directions to “ DR. BEVERLY JAISWAL DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.