Riverside Oral Surgery - Livingston

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02584805 Issued in NJ

Legal business name

RIVERSIDE ORAL SURGERY - LIVINGSTON

Practice address

340 E Northfield Rd Ste 1C
Livingston, NJ 07039-4892

Phone

(973) 992-4750

NPI assigned

Jun 26, 2018

Organization subpart

No

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

Authorized official

Name

Miss Lisa D Brown

Title

Office Manager

Phone

(201) 487-6565

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Riverside Oral Surgery Doing business as

Locations

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1255826939",
    "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": "340 E NORTHFIELD RD STE 1C",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394892",
            "telephone_number": "973-992-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE ORAL SURGERY - LIVINGSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-487-6565",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02584805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "22DI02584805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Marie Rios-Floyd, FNP-BC
• Erin Ritter, LPC, NCC, SAC
• Jill Ritter, MD
• Ruxandra Irina Ritter, PH.D., L.P.C.
• Alberto R Rivera, MD,FACEP
• Louis Rizio III, MD
• Jamil F Rizqalla, DO
• Taqi Ali Rizvi, DO
• Alexarae Rizzo, MD
• Lisa Ilene Robbins, MD

• Oral and Maxillofacial Surgery (Dentist) in Livingston, NJ
• Providers in Livingston, 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 Sep 26, 2022; 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.