Organization Active NPI

Affiliated Oral Surgery Group,PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Willingboro, NJ
National Provider Identifier
1265578850
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
15562 Issued in NJ
Legal business name
AFFILIATED ORAL SURGERY GROUP,PC
Practice address
1113 Hospital Dr
Suite 300
Willingboro, NJ 08046-1103
Phone
(609) 877-2030
Fax
(609) 877-6872
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph P. Focarile, D.M.D.NPI 1417964768
Title
Owner
Phone
(609) 877-2030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 15562 NJ Primary

Addresses

Primary practice location

1113 Hospital Dr
Suite 300
Willingboro, NJ 08046-1103

Mailing address

1113 Hospital Dr
Suite 300
Willingboro, NJ 08046-1103
Phone (609) 877-2030

Other identifiers 1

IdentifierTypeStateIssuer
D15562OtherNJDENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

1113 Hospital Dr
Ste 300
Willingboro, NJ 08046
Phone (609) 778-1742

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265578850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461103",
            "telephone_number": "609-877-2030",
            "fax_number": "609-877-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461103",
            "telephone_number": "609-877-2030",
            "fax_number": "609-877-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED ORAL SURGERY GROUP,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOCARILE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-877-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "15562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "D15562",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.