NPIMap

Organization Active NPI

Dr. Benaifer D. Preziosi, LLC

Doing business as Coastal Oral and Maxillofacial Surgery

  • Dental Clinic/Center
  • Linwood, NJ
National Provider Identifier
1093173569
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI02353700 Issued in NJ
Legal business name
DR. BENAIFER D. PREZIOSI, LLC
Doing business as
Coastal Oral and Maxillofacial Surgery
Practice address
199 New Rd
Suite 32
Linwood, NJ 08221-2025
Phone
(609) 927-9090
Fax
(609) 927-9091
NPI assigned
Jan 29, 2016
Last updated
Jan 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Dr. Benaifer Don Preziosi, D.M.D.NPI 1083813463
Title
President
Phone
(609) 927-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22DI02353700 NJ Primary

Addresses

Primary practice location

199 New Rd
Suite 32
Linwood, NJ 08221-2025

Mailing address

199 New Rd
Suite 32
Linwood, NJ 08221-2025
Phone (609) 927-9090

Other names 1

  • Coastal Oral and Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1093173569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 NEW RD",
            "address_2": "SUITE 32",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212025",
            "telephone_number": "609-927-9090",
            "fax_number": "609-927-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 NEW RD",
            "address_2": "SUITE 32",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212025",
            "telephone_number": "609-927-9090",
            "fax_number": "609-927-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BENAIFER D. PREZIOSI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "PREZIOSI",
        "authorized_official_first_name": "BENAIFER",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-927-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02353700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.