Edward Kozlovsky, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02185300 Issued in NJ

Practice address

15 School Rd E
Suite #1
Marlboro, NJ 07746-2058

Phone

(732) 625-2244

Fax

(732) 625-1244

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Middletown Oral Surgery Associates, P.C.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Middletown, NJ
  • NPI 1245697432
  Medicare reassignment NPD Authorized official
• Middletown Oral and Maxillofacial Surgery Associates LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Middletown, NJ
  • NPI 1366585549
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326119736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SCHOOL RD E",
            "address_2": "SUITE #1",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462058",
            "telephone_number": "732-625-2244",
            "fax_number": "732-625-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SCHOOL RD E",
            "address_2": "SUITE #1",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462058",
            "telephone_number": "732-625-2244",
            "fax_number": "732-625-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOVSKY",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02185300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Kelly, APN-C
• Anmol Khadtale, DO
• Alexis Kim, PMHNP-BC
• Sarah E Knapp
• Yan Kosubevsky
• Jane Kutsowsky, O.D.
• Ruth D Lax, MSW, LCSW
• Sheethal Manipadaga Laxmi, M.D.
• Michelle Lerman, MS, ED
• Valentina Leverant

• Oral and Maxillofacial Surgery (Dentist) in Marlboro, NJ
• Providers in Marlboro, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.