North Jersey Oral Maxillofacial Reconstruction Surgery, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02217300 Issued in NJ

Legal business name

NORTH JERSEY ORAL MAXILLOFACIAL RECONSTRUCTION SURGERY, PC

Practice address

98 US Highway 46
Suite 3
Budd Lake, NJ 07828

Phone

(973) 691-8400

Fax

(973) 691-8408

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John V. Vecchione, D.D.S

Title

President

Phone

(973) 691-8400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1043485535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 US HIGHWAY 46",
            "address_2": "SUITE 3",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "07828",
            "telephone_number": "973-691-8400",
            "fax_number": "973-691-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 US HIGHWAY 46",
            "address_2": "SUITE 3",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "07828",
            "telephone_number": "973-691-8400",
            "fax_number": "973-691-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY ORAL MAXILLOFACIAL RECONSTRUCTION SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "VECCHIONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-691-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02217300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Budd Lake, NJ
• Providers in Budd Lake, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.