Active NPIOrganization

South Bergen Oral Maxillofacial Surgery LLC

Dentist, Oral and Maxillofacial Surgery in Lyndhurst, New Jersey

NPI Number1073973939
Practice location
422 Stuyvesant Ave, 1ST Floor, Lyndhurst, NJ 07071-2326
Fax
—
Last updated
March 4, 2016

South Bergen Oral Maxillofacial Surgery LLC is a healthcare organization based in Lyndhurst, NJ. South Bergen Oral Maxillofacial Surgery LLC practices in Lyndhurst, NJ. The NPI Number for South Bergen Oral Maxillofacial Surgery LLC is 1073973939 and holds a License No. 22DI02285405 (NJ). The current practice location address for South Bergen Oral Maxillofacial Surgery LLC is 422 Stuyvesant Ave, 1ST Floor, Lyndhurst, NJ 07071-2326 and can be reached out via phone at 201-935-4577.

Provider Profile Details

NPI Number
1073973939
Provider Name
South Bergen Oral Maxillofacial Surgery LLC
Provider Entity Type
Organization
Address
422 Stuyvesant Ave, 1ST Floor, Lyndhurst, NJ 07071-2326
Phone Number
201-935-4577
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Eshansh Arora · Member · 201-935-4577
Provider Enumeration Date
March 4, 2016
Last Update Date
March 4, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
422 Stuyvesant Ave
1ST Floor
Lyndhurst, NJ 07071-2326
Zip
07071-2326
Phone Number
201-935-4577
Lyndhurst, NJ 07071Get directions →

Provider Business Mailing Address Details

Address
422 Stuyvesant Ave
1ST Floor
Lyndhurst, NJ 07071-2326
City
Lyndhurst
State
NJ
Zip
07071-2326

License Information

License Number
22DI02285405
License State
NJ
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of South Bergen Oral Maxillofacial Surgery LLC?

The NPI number of South Bergen Oral Maxillofacial Surgery LLC is 1073973939. It was assigned on March 4, 2016 and is currently active in the NPPES registry.

What is the specialty of South Bergen Oral Maxillofacial Surgery LLC?

South Bergen Oral Maxillofacial Surgery LLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 22DI02285405.

Where does South Bergen Oral Maxillofacial Surgery LLC practice?

The practice location is 422 Stuyvesant Ave, 1ST Floor, Lyndhurst, NJ 07071-2326. The office can be reached at 201-935-4577 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073973939 directly on the NPPES registry website.

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