Heller Oral Sugery LLC

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

24058 Issued in NJ

Legal business name

HELLER ORAL SUGERY LLC

Practice address

639 Mount Prospect Ave FL 2
Newark, NJ 07104-3109

Phone

(973) 481-3078

Fax

(973) 481-2999

NPI assigned

Jun 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Fariba Sharifan, DMD

Title

President

Phone

(973) 481-3078

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1154734325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 MOUNT PROSPECT AVE FL 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043109",
            "telephone_number": "973-481-3078",
            "fax_number": "973-481-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 MOUNT PROSPECT AVE FL 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043109",
            "telephone_number": "973-481-3078",
            "fax_number": "973-481-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELLER ORAL SUGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "SHARIFAN",
        "authorized_official_first_name": "FARIBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-481-3078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NJ",
            "license": "24058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillon Hebertson, DDS
• Kelsey Megen Heckmann
• Marian Heenehan, APRN
• Ericka Yvonne Heggins, PT
• Gary Martin Heir, DMD
• Debra Sheldon Heller, M.D.
• Hello Care LLC
• Karen Helmes, MA
• Seham Helmi
• Stefan Helms

• Oral and Maxillofacial Pathology Dentistry in Newark, NJ
• Providers in Newark, NJ by specialty
• Oral and Maxillofacial Pathology Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.