Robbinsville Oral and Maxillofacial Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02615800 Issued in NJ

Legal business name

ROBBINSVILLE ORAL AND MAXILLOFACIAL SURGERY LLC

Practice address

2291 Route 33 Ste 1005
Hamilton, NJ 08690-1717

Phone

(901) 647-8064

NPI assigned

Nov 27, 2017

Last updated

Nov 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chandini Hudson, DDSNPI 1396942397

Title

Owner

Phone

(901) 647-8064

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chandini Hudson, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cherry Hill, NJ
  • NPI 1396942397
  NPD (past) Authorized official

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1043724222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HIGH ST",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573508",
            "telephone_number": "901-647-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 ROUTE 33 STE 1005",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086901717",
            "telephone_number": "901-647-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBINSVILLE ORAL AND MAXILLOFACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "CHANDINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-647-8064",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02615800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Klein Richard, OTR/L
• Sharonda Richardson, LSW
• Michael J. Rieder, M.D.
• Adela M Rivera, BA, FSW
• Syed WH Rizvi, MD
• Robert a Donohue MD PA
• Robert Wood Johnson University Hospital at Hamilton
• Robert Wood Johnson University Hospital at Hamilton
• Robert Wood Johnson University Hospital at Hamilton (RWJ Sa's at Hamilton)
• Robert Wood Johnson University Hospital at Hamilton (RWJ Medical Oncology at Hamilton)

• Oral and Maxillofacial Surgery (Dentist) in Hamilton, NJ
• Providers in Hamilton, 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 27, 2017; 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.