Riverbend Oral and Maxillofacial Surgery, PLLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

RIVERBEND ORAL AND MAXILLOFACIAL SURGERY, PLLC

Practice address

1066 Granby Rd
Chicopee, MA 01020-1539

Phone

(413) 534-4400

NPI assigned

Jan 3, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Anju Nellissery, DMD, MDNPI 1629598123

Title

President

Phone

(860) 335-0168

Specialties & licenses 1

Addresses

Practitioners 1

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

• Anju Nellissery, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Chicopee, MA
  • NPI 1629598123
  NPD Authorized official

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

{
    "created_epoch": "1767398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767398400000",
    "number": "1215893243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 GRANBY RD",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201539",
            "telephone_number": "413-534-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 GRANBY RD",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201539",
            "telephone_number": "413-534-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND ORAL AND MAXILLOFACIAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-03",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A",
        "authorized_official_last_name": "NELLISSERY",
        "authorized_official_first_name": "ANJU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-335-0168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rivera
• Desire Rivera, MA COUNSELING
• Manuel Rivera Jr.
• Riverbend Medical Group, Inc
• Riverbend Medical Group, Inc
• Rivers Edge Primary Care LLC
• Jill Marie Roach, P.T.
• Robert G. Rafferty, DMD, PC
• Linda Robins
• Colin James Robinson, PA

• Oral & Maxillofacial Surgery (D.M.D.) in Chicopee, MA
• Providers in Chicopee, MA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2026; 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.