Provider Type Icon

RIVERSIDE ORAL SURGERY-RIVER EDGE NPI 1962683334


NPI Information

NPI: 1962683334
Provider Name: RIVERSIDE ORAL SURGERY-RIVER EDGE

Other Name: RIVERSIDE ORAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
130 KINDERKAMACK RD
SUITE 204
RIVER EDGE, NJ
ZIP 07661
Phone: (201) 487-6565
Get Directions

RIVERSIDE ORAL SURGERY-RIVER EDGE is an oral and maxillofacial surgery dentist in River Edge, NJ. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. RIVERSIDE ORAL SURGERY-RIVER EDGE NPI is 1962683334. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Riverside Oral Surgery.

The provider's business location address is:

130 KINDERKAMACK RD
SUITE 204
RIVER EDGE, NJ
ZIP 07661-939
Phone: (201) 487-6565
Fax: (201) 487-4229

The provider's authorized official is Jason Michael Auerbach .
The authorized official title is Owner and has the following contact phone number (201) 487-6565.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 9/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.