Knickerbocker Oral and Facial Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02376000 Issued in NJ

Legal business name

KNICKERBOCKER ORAL AND FACIAL SURGERY, LLC

Practice address

300 Knickerbocker Rd
Suite 2000
Cresskill, NJ 07626-1350

Phone

(973) 900-1829

NPI assigned

Jul 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Doron Ringler, DMD, MDNPI 1336339829

Title

Owner

Phone

(973) 900-1829

Specialties & licenses 1

Addresses

Practitioners 1

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

• Doron Ringler, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Cresskill, NJ
  • NPI 1336339829
  NPD (past) Authorized official

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1104267707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHRISTIE ST",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KNICKERBOCKER RD",
            "address_2": "SUITE 2000",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076261350",
            "telephone_number": "973-900-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNICKERBOCKER ORAL AND FACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "RINGLER",
        "authorized_official_first_name": "DORON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-900-1829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02376000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Mary Kashmanian, ED.D., MA, MS, MA
• Han Sung Kim
• Hyeon-Kyeong Kim, MS.ED.
• Jina Kim
• Young Ho Kim, DDS
• Sergei Kochlatyi, M.D.
• Kattya Koenigsberg, M.A., LPC
• Steven Korner, PH.D.
• Cara Beth Kupersmith
• Nancy Jane Laifer, OD

• Oral and Maxillofacial Surgery (Dentist) in Cresskill, NJ
• Providers in Cresskill, 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 Jul 11, 2013; 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.