Organization Active NPI

Alberto & Cho Oral and Maxillofacial Surgery Group, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Sparta, NJ
National Provider Identifier
1013129592
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D12645 Issued in NJ
Legal business name
ALBERTO & CHO ORAL AND MAXILLOFACIAL SURGERY GROUP, LLC
Practice address
171 Woodport Rd.
Sparta, NJ 07871
Phone
(973) 865-2670
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Dr. Pamela Alberto, D.M.D.NPI 1548226236
Title
President
Phone
(973) 729-7979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X D12645 NJ Primary

Addresses

Primary practice location

171 Woodport Rd.
Sparta, NJ 07871

Mailing address

171 Woodport Rd.
Sparta, NJ 07871
Phone (973) 865-2670

Other names 1

  • Center for Dental Implants and facial cosmetic surgery Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080711000358 NJ Part B Supplier - Clinic/Group Practice 4486672771 Receives reassigned benefits from 2 practitioners
Practice locations: Sparta, NJ; Vernon, NJ

National Provider Directory

National Provider Directory

Locations

171 Woodport Rd
Sparta, NJ 07871
Phone (973) 726-3001

529 Route 515
Ste 105
Vernon, NJ 07462
Phone (973) 764-6644

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1013129592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 WOODPORT RD.",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "07871",
            "telephone_number": "973-865-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 WOODPORT RD.",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "07871",
            "telephone_number": "973-865-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTO & CHO ORAL AND MAXILLOFACIAL SURGERY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "ALBERTO",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-729-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "D12645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Dental Implants and facial cosmetic surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.