Central Jersey Oral and Maxillofacial Surgery,P.a.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CENTRAL JERSEY ORAL AND MAXILLOFACIAL SURGERY,P.A.

Practice address

158 Main St
Matawan, NJ 07747-4104

Phone

(732) 566-7648

Fax

(732) 566-1919

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Laurence David Sussman, D.D.S.

Title

V. Pres

Phone

(732) 566-7648

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1164596268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 MAIN ST",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077474104",
            "telephone_number": "732-566-7648",
            "fax_number": "732-566-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MAIN ST",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077474104",
            "telephone_number": "732-566-7648",
            "fax_number": "732-566-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY ORAL AND MAXILLOFACIAL SURGERY,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SUSSMAN",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "V. PRES",
        "authorized_official_telephone_number": "732-566-7648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "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": []
}

• Anthony J Castronovo, OTR/L
• Francesca Catania
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• Center for Marriage & Family Therapy, P.C.
• Central Jersey Lordex Spine Institute
• Elisabeth Anna Cerha
• Laura Chapman, MS-SLP
• Charis Care LLC
• Sydney X Chen, M.D.
• Johanna Carolina Chicaiza, RN

• Oral and Maxillofacial Surgery (Dentist) in Matawan, NJ
• Providers in Matawan, 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 Jun 24, 2008; 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.