Individual provider Active NPI

Douglas H Seeger, DMD MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Woodbury Heights, NJ
National Provider Identifier
1306884044
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22D102314600 Issued in NJ
Practice address
992 Mantua Pike
Suite 302 Westwood Oral Surgery Associates PA
Woodbury Heights, NJ 08097
Phone
(856) 845-1341
Fax
(856) 384-9067
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22D102314600 NJ Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS031358L PA

Addresses

Primary practice location

992 Mantua Pike
Suite 302 Westwood Oral Surgery Associates PA
Woodbury Heights, NJ 08097

Mailing address

992 Mantua Pike
Suite 302 Westwood Oral Surgery Associates PA
Woodbury Heights, NJ 08097
Phone (856) 845-1341

Other identifiers 3

IdentifierTypeStateIssuer
102333 ATLOtherPTAN
23146/0925OtherNJDELTA
2749374000OtherAMERIHEALTH MANAGED CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22D102314600NJMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1306884044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 MANTUA PIKE",
            "address_2": "SUITE 302 WESTWOOD ORAL SURGERY ASSOCIATES PA",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "08097",
            "telephone_number": "856-845-1341",
            "fax_number": "856-384-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 MANTUA PIKE",
            "address_2": "SUITE 302 WESTWOOD ORAL SURGERY ASSOCIATES PA",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "08097",
            "telephone_number": "856-845-1341",
            "fax_number": "856-384-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEGER",
        "first_name": "DOUGLAS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22D102314600",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS031358L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "102333 ATL",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "23146/0925",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MANAGED CARE",
            "identifier": "2749374000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury Heights, NJ

Sources for this page

Verify at the official NPI Registry.