Ride Oral Surgery Summit PC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

RIDE ORAL SURGERY SUMMIT PC

Practice address

1 Springfield Ave Ste 2D
Summit, NJ 07901-4055

Phone

(908) 395-0111

NPI assigned

Nov 26, 2025

Organization subpart

No

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

Authorized official

Name

Prakhar Mehrotra, BDS, DDS, MDNPI 1740624121

Title

President

Phone

(908) 395-0111

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Prakhar Mehrotra, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Basking Ridge, NJ
  • NPI 1740624121
  NPD Authorized official
• Allison Derenzi, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Basking Ridge, NJ
  • NPI 1649895863
  NPD (past)

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1164384277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SPRINGFIELD AVE STE 2D",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079014055",
            "telephone_number": "908-395-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPRINGFIELD AVE STE 2D",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079014055",
            "telephone_number": "908-395-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDE ORAL SURGERY SUMMIT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "MEHROTRA",
        "authorized_official_first_name": "PRAKHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-395-0111",
        "authorized_official_credential": "BDS, DDS, MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stancie C. Rhodes, MD
• Stuart N Rice, MD
• Raynard Otis Riley, DDS
• River & Spring Partners in Speech, Language, Social Skills & Parenting
• Samantha Rivera, MD
• Laurie M Robbins, LCSW
• Christine Robertello, LCSW

• Oral and Maxillofacial Surgery Clinic/Center in Summit, NJ
• Providers in Summit, NJ by specialty
• Oral and Maxillofacial Surgery Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.