Active NPI
Riverside Oral Surgery - West Caldwell
- Oral and Maxillofacial Surgery (Dentist)
- West Caldwell, NJ
National Provider Identifier
1235723073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- RIVERSIDE ORAL SURGERY - WEST CALDWELL
- Practice address
- 33 Clinton Rd Ste 101
West Caldwell, NJ 07006-6790 - Phone
- (201) 487-6565
- NPI assigned
- Feb 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason M Auerbach, DDS
- Title
- Owner
- Phone
- (201) 487-6565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
33 Clinton Rd Ste 101
West Caldwell, NJ 07006-6790
Mailing address
130 Kinderkamack Rd Ste 204
River Edge, NJ 07661-1931
Phone (201) 487-6565
National Provider Directory
National Provider DirectoryLocations
33 Clinton Rd
Ste 101
West Caldwell, NJ 07006
Phone (201) 487-6565
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Fayetteville, AR
- NPI 1346692787
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614038400000",
"number": "1235723073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 KINDERKAMACK RD STE 204",
"city": "RIVER EDGE",
"state": "NJ",
"postal_code": "076611931",
"telephone_number": "201-487-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 CLINTON RD STE 101",
"city": "WEST CALDWELL",
"state": "NJ",
"postal_code": "070066790",
"telephone_number": "201-487-6565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE ORAL SURGERY - WEST CALDWELL",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-23",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A",
"authorized_official_last_name": "AUERBACH",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-487-6565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"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": []
}
Other providers in West Caldwell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.