Organization Active NPI

Robert Korwin DMD Micoi Magd PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Red Bank, NJ
National Provider Identifier
1144751835
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI01390300 Issued in NJ
Legal business name
ROBERT KORWIN DMD MICOI MAGD PA
Practice address
500 Route 35
Suite 562
Red Bank, NJ 07701-5038
Phone
(732) 219-8900
NPI assigned
Mar 23, 2017
Last updated
Mar 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Robert KorwinNPI 1598740169
Title
Owner
Phone
(732) 219-8900

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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI01390300 NJ Primary

Addresses

Primary practice location

500 Route 35
Suite 562
Red Bank, NJ 07701-5038

Mailing address

500 Route 35
Suite 562
Red Bank, NJ 07701-5038

National Provider Directory

National Provider Directory

Locations

500 State Route 35
Red Bank, NJ 07701
Phone (717) 451-7870

500 State Route 35
Ste 562
Red Bank, NJ 07701
Phone (732) 219-8900

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.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1144751835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ROUTE 35",
            "address_2": "SUITE 562",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ROUTE 35",
            "address_2": "SUITE 562",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015038",
            "telephone_number": "732-219-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT KORWIN DMD MICOI MAGD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "KORWIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-219-8900"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI01390300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.