NPIMap

Organization Active NPI

Northeast Regional Center for Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Little Falls, NJ
National Provider Identifier
1164806972
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DI18430 Issued in NJ
Legal business name
NORTHEAST REGIONAL CENTER FOR ORAL & MAXILLOFACIAL SURGERY
Practice address
50 E Main St
Little Falls, NJ 07424-5604
Phone
(973) 256-0103
Fax
(973) 256-8066
NPI assigned
Jul 13, 2015
Last updated
Jul 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Dr. Richard Patrick Szumita, D.D.S.NPI 1558312181
Title
Owner
Phone
(973) 256-0103

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)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DI18430 NJ Primary

Addresses

Primary practice location

50 E Main St
Little Falls, NJ 07424-5604

Mailing address

50 E Main St
Little Falls, NJ 07424-5604
Phone (973) 256-0103

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1164806972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E MAIN ST",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074245604",
            "telephone_number": "973-256-0103",
            "fax_number": "973-256-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E MAIN ST",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074245604",
            "telephone_number": "973-256-0103",
            "fax_number": "973-256-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST REGIONAL CENTER FOR ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "SZUMITA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-256-0103",
        "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": "NJ",
            "license": "DI18430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.