Active NPIOrganization

New Jersey Center For Oral & Maxillofacial Surgery

Oral & Maxillofacial Surgery in Maywood, New Jersey

NPI Number1619221827
Practice location
949 Spring Valley RD, Maywood, NJ 07607-1452
Fax
201-712-9190
Last updated
September 15, 2015

New Jersey Center For Oral & Maxillofacial Surgery is a healthcare organization based in Maywood, NJ. New Jersey Center For Oral & Maxillofacial Surgery practices in Maywood, NJ. The NPI Number for New Jersey Center For Oral & Maxillofacial Surgery is 1619221827 and holds a License No. DI19847 (NJ). The current practice location address for New Jersey Center For Oral & Maxillofacial Surgery is 949 Spring Valley RD, Maywood, NJ 07607-1452 and can be reached out via phone at 201-712-5556 and via fax at 201-712-9190.

Provider Profile Details

NPI Number
1619221827
Provider Name
New Jersey Center For Oral & Maxillofacial Surgery
Provider Entity Type
Organization
Address
949 Spring Valley RD, Maywood, NJ 07607-1452
Phone Number
201-712-5556
Fax Number
201-712-9190
Primary Taxonomy
Oral & Maxillofacial Surgery · 204E00000X
Organization Subpart
No
Authorized Official
Michael Costello, DMD · Owner · 201-712-5556
Other Names
Cosa/Costello Oral Surgery Associates, LLC (Doing Business As)
Provider Enumeration Date
November 9, 2012
Last Update Date
September 15, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
949 Spring Valley RD
Maywood, NJ 07607-1452
Zip
07607-1452
Phone Number
201-712-5556
Fax Number
201-712-9190
Maywood, NJ 07607Get directions →

Provider Business Mailing Address Details

Address
949 Spring Valley RD
Maywood, NJ 07607-1452
City
Maywood
State
NJ
Zip
07607-1452
Phone Number
201-712-5556
Fax Number
201-712-9190

License Information

License Number (1)
DI19847
License State (1)
NJ
Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (2)
DI19847
License State (2)
NJ
Taxonomy (2)
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 New Jersey Center For Oral & Maxillofacial Surgery?

The NPI number of New Jersey Center For Oral & Maxillofacial Surgery is 1619221827. It was assigned on November 9, 2012 and is currently active in the NPPES registry.

What is the specialty of New Jersey Center For Oral & Maxillofacial Surgery?

New Jersey Center For Oral & Maxillofacial Surgery is registered under the primary taxonomy Oral & Maxillofacial Surgery (code 204E00000X), licensed in NJ under license number DI19847.

Where does New Jersey Center For Oral & Maxillofacial Surgery practice?

The practice location is 949 Spring Valley RD, Maywood, NJ 07607-1452. The office can be reached at 201-712-5556 (phone) or 201-712-9190 (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 1619221827 directly on the NPPES registry website.

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