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Dr. Jack Andrew Nelson, OMFS

Oral and Maxillofacial Surgery (Dentist) in Hampton Bays, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629166590

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Registry record

Entity type Individual (Type 1)
Name Dr. Jack Andrew Nelson
Credential OMFS
Sex Male
Practice address 240 W Montauk Hwy, Hampton Bays, NY, 11946
Phone (631) 728-1300
Fax (631) 728-5165
Enumeration date Oct 10, 2006
Last updated in NPPES Mar 10, 2016

Taxonomy & licenses

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 0429341 (NY) Primary

Other identifiers

Identifier Type State Issuer
01548470 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Jack Nelson?
Jack Nelson is registered in NPPES with the primary taxonomy of Oral and Maxillofacial Surgery (Dentist). The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-03-10.