Metropolitan Craniofacial Center

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

METROPOLITAN CRANIOFACIAL CENTER

Practice address

101 Old Short Hills Road
Penthouse II
West Orange, NJ 07052

Phone

(973) 736-7616

Fax

(973) 325-3487

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Theodore A Niebloom, DMD

Title

Doctor VP

Phone

(973) 736-7616

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jonathan Michel, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Mountain Lakes, NJ
  • NPI 1699209700
  NPD
• Rinil Patel, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Edison, NJ
  • NPI 1356738280
  NPD

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1306922422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS ROAD",
            "address_2": "PENTHOUSE II",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-736-7616",
            "fax_number": "973-325-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS ROAD",
            "address_2": "PENTHOUSE II",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-736-7616",
            "fax_number": "973-325-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN CRANIOFACIAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "NIEBLOOM",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR VP",
        "authorized_official_telephone_number": "973-736-7616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "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": []
}

• Mental Health Therapeutic Behavioral Supports & Dev. Dis., LLC
• Mercy Medical Transport
• Lara Jill Merker-Eisen, DMD
• Erin Mershon
• Metro East Community Care, LLC.
• Michael K. Seidenstein, MD PA
• Michael Vincent Verdi DPM
• Azieb Michael, RRT
• Regine Michel
• Lorelle Michelson, M.D.

• Oral and Maxillofacial Surgery (Dentist) in West Orange, NJ
• Providers in West Orange, 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 Oct 5, 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.