Active NPIOrganization

Randolph Center For Oral And Maxillofacial Surgery, LLC

Dentist, Oral and Maxillofacial Surgery in Hackettstown, New Jersey

NPI Number1992615306
Practice location
616 Willow Grove St Ste 4, Hackettstown, NJ 07840-1779
Fax
—
Last updated
September 9, 2026

Randolph Center For Oral And Maxillofacial Surgery, LLC is a healthcare organization based in Hackettstown, NJ. Randolph Center For Oral And Maxillofacial Surgery, LLC practices in Hackettstown, NJ. The NPI Number for Randolph Center For Oral And Maxillofacial Surgery, LLC is 1992615306. The current practice location address for Randolph Center For Oral And Maxillofacial Surgery, LLC is 616 Willow Grove St Ste 4, Hackettstown, NJ 07840-1779 and can be reached out via phone at 908-813-9500.

Provider Profile Details

NPI Number
1992615306
Provider Name
Randolph Center For Oral And Maxillofacial Surgery, LLC
Provider Entity Type
Organization
Address
616 Willow Grove St Ste 4, Hackettstown, NJ 07840-1779
Phone Number
908-813-9500
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
616 Willow Grove St Ste 4
Hackettstown, NJ 07840-1779
Zip
07840-1779
Phone Number
908-813-9500
Hackettstown, NJ 07840Get directions →

Provider Business Mailing Address Details

Address
616 Willow Grove St Ste 4
Hackettstown, NJ 07840-1779
City
Hackettstown
State
NJ
Zip
07840-1779
Phone Number
908-813-9500

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 1992615306. 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 616 Willow Grove St Ste 4, Hackettstown, NJ 07840-1779. The office can be reached at 908-813-9500 (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 1992615306 directly on the NPPES registry website.

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