Optimum Oral Surgery Group LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

12708 Issued in NJ

Legal business name

OPTIMUM ORAL SURGERY GROUP LLC

Practice address

2301 E Evesham Rd
Suite 211
Voorhees, NJ 08043-4501

Phone

(856) 772-1500

Fax

(856) 772-0711

NPI assigned

May 26, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald Rebhun

Title

Owner

Phone

(856) 772-1500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad Rebhun

  • Oral and Maxillofacial Surgery (Dentist)
  • Voorhees, NJ
  • NPI 1427316223
  Medicare reassignment Care Compare group NPD
• John Henry Masi, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Philadelphia, PA
  • NPI 1437686862

  NJ

  Medicare reassignment Care Compare group NPD
• Lauren Trager, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Philadelphia, PA
  • NPI 1235623315

  NJ

  Medicare reassignment Care Compare group
• Adam Louis Cohen, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Voorhees, NJ
  • NPI 1730568841
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1003264326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD",
            "address_2": "SUITE 211",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-772-1500",
            "fax_number": "856-772-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD",
            "address_2": "SUITE 211",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-772-1500",
            "fax_number": "856-772-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM ORAL SURGERY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "REBHUN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-772-1500"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "12708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tiffany Onwuka, DO
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• Charles Richard Orth Jr., M.D.
• Donald Orth, MD
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• Orthopedic Reconstruction Specialists LLC
• Jennifer O Osborn, CRNA

• Oral and Maxillofacial Surgery Clinic/Center in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Oral and Maxillofacial Surgery Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.