Active NPIOrganization

Randolph Center For Oral And Maxillofacial Surgery, LLC

Dentist, Oral and Maxillofacial Surgery in Brick, New Jersey

NPI Number1528978939
Practice location
35 Beaverson Blvd Ste A, Brick, NJ 08723-7812
Fax
—
Last updated
September 9, 2026

Randolph Center For Oral And Maxillofacial Surgery, LLC is a healthcare organization based in Brick, NJ. Randolph Center For Oral And Maxillofacial Surgery, LLC practices in Brick, NJ. The NPI Number for Randolph Center For Oral And Maxillofacial Surgery, LLC is 1528978939. The current practice location address for Randolph Center For Oral And Maxillofacial Surgery, LLC is 35 Beaverson Blvd Ste A, Brick, NJ 08723-7812 and can be reached out via phone at 732-920-8800.

Provider Profile Details

NPI Number
1528978939
Provider Name
Randolph Center For Oral And Maxillofacial Surgery, LLC
Provider Entity Type
Organization
Address
35 Beaverson Blvd Ste A, Brick, NJ 08723-7812
Phone Number
732-920-8800
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
Yes
Parent Organization
Randolph Center For Oral And Maxillofacial Surgery, LLC
Authorized Official
Michaela Muniz · Vp, Payor Relations · 469-324-3242
Provider Enumeration Date
September 9, 2026
Last Update Date
September 9, 2026
Certification Date
September 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Beaverson Blvd Ste A
Brick, NJ 08723-7812
City
Brick
Zip
08723-7812
Phone Number
732-920-8800
Brick, NJ 08723Get directions →

Provider Business Mailing Address Details

Address
35 Beaverson Blvd Ste A
Brick, NJ 08723-7812
City
Brick
State
NJ
Zip
08723-7812
Phone Number
732-920-8800

License Information

Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
Taxonomy (2)
Oral & Maxillofacial Surgery · 204E00000X

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 Randolph Center For Oral And Maxillofacial Surgery, LLC?

The NPI number of Randolph Center For Oral And Maxillofacial Surgery, LLC is 1528978939. It was assigned on September 9, 2026 and is currently active in the NPPES registry.

What is the specialty of Randolph Center For Oral And Maxillofacial Surgery, LLC?

Randolph Center For Oral And Maxillofacial Surgery, LLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X).

Where does Randolph Center For Oral And Maxillofacial Surgery, LLC practice?

The practice location is 35 Beaverson Blvd Ste A, Brick, NJ 08723-7812. The office can be reached at 732-920-8800 (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 1528978939 directly on the NPPES registry website.

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