Active NPI
Riverside Oral Surgery - Edison
- Oral and Maxillofacial Surgery (Dentist)
- Edison, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- RIVERSIDE ORAL SURGERY - EDISON
- Practice address
- 80 Route 27
Edison, NJ 08820-3985 - Phone
- (201) 487-6565
- NPI assigned
- Aug 7, 2020
- Last updated
- Aug 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason M Auerbach, DDS
- Title
- Owner
- Phone
- (201) 487-6565
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
80 Route 27
Edison, NJ 08820-3985
Mailing address
130 Kinderkamack Rd Ste 204
River Edge, NJ 07661-1931
Phone (201) 487-6565
National Provider Directory
National Provider DirectoryLocations
130 Kinderkamack Rd
Ste 204
River Edge, NJ 07661
Phone (201) 487-6565
Practitioners & affiliated clinicians
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- River Edge, NJ
- NPI 1336112648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596758400000",
"number": "1124638861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 KINDERKAMACK RD STE 204",
"city": "RIVER EDGE",
"state": "NJ",
"postal_code": "076611931",
"telephone_number": "201-487-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 ROUTE 27",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203985",
"telephone_number": "201-487-6565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE ORAL SURGERY - EDISON",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-07",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A",
"authorized_official_last_name": "AUERBACH",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-487-6565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.