Raritan Valley Oral and Maxillofacial Surgery P.a.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

RARITAN VALLEY ORAL AND MAXILLOFACIAL SURGERY P.A.

Practice address

619 Amboy Ave
Edison, NJ 08837-3584

Phone

(732) 738-6555

Fax

(732) 738-6565

NPI assigned

Sep 26, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn Amodio

Title

Office Manager

Phone

(732) 738-6555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1093965048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373584",
            "telephone_number": "732-738-6555",
            "fax_number": "732-738-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373584",
            "telephone_number": "732-738-6555",
            "fax_number": "732-738-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARITAN VALLEY ORAL AND MAXILLOFACIAL SURGERY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "AMODIO",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-738-6555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rapid Relief Rehabilitation
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• Raritan Valley Chiropractic Center
• Raritan Valley Regional Emergency Medical Service Inc
• Charumathi Rathnakumar, M.D
• Nilima Ratkalkar, D.M.D.
• Aisha Rauf, NP
• Harita Kamalam Ravindran, DMD

• Oral & Maxillofacial Surgery (D.M.D.) in Edison, NJ
• Providers in Edison, NJ by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.