Active NPIOrganization

Riverside Oral Surgery - Livingston

Dentist, Oral and Maxillofacial Surgery in Livingston, New Jersey

NPI Number1255826939
Practice location
340 E Northfield RD Ste 1C, Livingston, NJ 07039-4892
Fax
—
Last updated
September 26, 2022

Riverside Oral Surgery - Livingston is a healthcare organization based in Livingston, NJ. Riverside Oral Surgery - Livingston practices in Livingston, NJ. The NPI Number for Riverside Oral Surgery - Livingston is 1255826939 and holds a License No. 22DI02584805 (NJ). The current practice location address for Riverside Oral Surgery - Livingston is 340 E Northfield RD Ste 1C, Livingston, NJ 07039-4892 and can be reached out via phone at 973-992-4750.

Provider Profile Details

NPI Number
1255826939
Provider Name
Riverside Oral Surgery - Livingston
Provider Entity Type
Organization
Address
340 E Northfield RD Ste 1C, Livingston, NJ 07039-4892
Phone Number
973-992-4750
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Miss Lisa D Brown · Office Manager · 201-487-6565
Other Names
Riverside Oral Surgery (Doing Business As)
Provider Enumeration Date
June 26, 2018
Last Update Date
September 26, 2022
Certification Date
September 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
340 E Northfield RD Ste 1C
Livingston, NJ 07039-4892
Zip
07039-4892
Phone Number
973-992-4750
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
130 Kinderkamack RD Ste 204
River Edge, NJ 07661-1931
City
River Edge
State
NJ
Zip
07661-1931
Phone Number
201-487-6565

License Information

License Number
22DI02584805
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 Riverside Oral Surgery - Livingston?

The NPI number of Riverside Oral Surgery - Livingston is 1255826939. It was assigned on June 26, 2018 and is currently active in the NPPES registry.

What is the specialty of Riverside Oral Surgery - Livingston?

Riverside Oral Surgery - Livingston is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 22DI02584805.

Where does Riverside Oral Surgery - Livingston practice?

The practice location is 340 E Northfield RD Ste 1C, Livingston, NJ 07039-4892. The office can be reached at 973-992-4750 (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 1255826939 directly on the NPPES registry website.

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