Active NPIOrganization

Elite Oral & Maxillofacial Surgery

Oral & Maxillofacial Surgery in Wayne, New Jersey

NPI Number1578839262
Practice location
246 Hamburg Tpke, Suite 304, Wayne, NJ 07470-2156
Fax
973-732-4556
Last updated
March 27, 2012

Elite Oral & Maxillofacial Surgery is a healthcare organization based in Wayne, NJ. Elite Oral & Maxillofacial Surgery practices in Wayne, NJ. The NPI Number for Elite Oral & Maxillofacial Surgery is 1578839262 and holds a License No. 22DI02332400 (NJ). The current practice location address for Elite Oral & Maxillofacial Surgery is 246 Hamburg Tpke, Suite 304, Wayne, NJ 07470-2156 and can be reached out via phone at 973-732-4555 and via fax at 973-732-4556.

Provider Profile Details

NPI Number
1578839262
Provider Name
Elite Oral & Maxillofacial Surgery
Provider Entity Type
Organization
Address
246 Hamburg Tpke, Suite 304, Wayne, NJ 07470-2156
Phone Number
973-732-4555
Fax Number
973-732-4556
Primary Taxonomy
Oral & Maxillofacial Surgery · 204E00000X
Organization Subpart
No
Authorized Official
Mr. Shahin Ghobadi, DMD · Owner/Oral Surgeon · 973-732-4555
Provider Enumeration Date
March 27, 2012
Last Update Date
March 27, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
246 Hamburg Tpke
Suite 304
Wayne, NJ 07470-2156
City
Wayne
Zip
07470-2156
Phone Number
973-732-4555
Fax Number
973-732-4556
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
246 Hamburg Tpke
Suite 304
Wayne, NJ 07470-2156
City
Wayne
State
NJ
Zip
07470-2156
Phone Number
973-732-4555
Fax Number
973-732-4556

License Information

License Number
22DI02332400
License State
NJ
Taxonomy
Oral & Maxillofacial Surgery · 204E00000X · 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 Elite Oral & Maxillofacial Surgery?

The NPI number of Elite Oral & Maxillofacial Surgery is 1578839262. It was assigned on March 27, 2012 and is currently active in the NPPES registry.

What is the specialty of Elite Oral & Maxillofacial Surgery?

Elite Oral & Maxillofacial Surgery is registered under the primary taxonomy Oral & Maxillofacial Surgery (code 204E00000X), licensed in NJ under license number 22DI02332400.

Where does Elite Oral & Maxillofacial Surgery practice?

The practice location is 246 Hamburg Tpke, Suite 304, Wayne, NJ 07470-2156. The office can be reached at 973-732-4555 (phone) or 973-732-4556 (fax).

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 1578839262 directly on the NPPES registry website.

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