NPIMap

Organization Active NPI

Riverside Oral Surgery-Westwood LLC

Doing business as Riverside Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Westwood, NJ
National Provider Identifier
1245787258
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DIO2230000 Issued in NJ
Legal business name
RIVERSIDE ORAL SURGERY-WESTWOOD LLC
Doing business as
Riverside Oral Surgery
Practice address
333 Old Hook Rd
Suite 100
Westwood, NJ 07675-3200
Phone
(201) 487-6565
Fax
(201) 487-4229
NPI assigned
Sep 7, 2016
Last updated
Sep 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Dr. Jason M Auerbach, DDSNPI 1336112648
Title
Owner
Phone
(201) 487-6565

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 22DIO2230000 NJ Primary

Addresses

Primary practice location

333 Old Hook Rd
Suite 100
Westwood, NJ 07675-3200

Mailing address

333 Old Hook Rd
Suite 100
Westwood, NJ 07675-3200
Phone (201) 487-6565

Other names 1

  • Riverside Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1245787258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 OLD HOOK RD",
            "address_2": "SUITE 100",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753200",
            "telephone_number": "201-487-6565",
            "fax_number": "201-487-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 OLD HOOK RD",
            "address_2": "SUITE 100",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753200",
            "telephone_number": "201-487-6565",
            "fax_number": "201-487-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE ORAL SURGERY-WESTWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "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": "NJ",
            "license": "22DIO2230000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.