Organization Active NPI

KPG, Oms, PC

Doing business as Passaic Oral Surgery & Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Passaic, NJ
National Provider Identifier
1326919812
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
KPG, OMS, PC
Doing business as
Passaic Oral Surgery & Dental Implant Center
Practice address
293 Main Ave
Passaic, NJ 07055-5740
Phone
(973) 471-0099
NPI assigned
Sep 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Karla Perez-Goldberg, DDSNPI 1760877856
Title
Owner
Phone
(973) 471-0099

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: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

293 Main Ave
Passaic, NJ 07055-5740

Mailing address

293 Main Ave
Passaic, NJ 07055-5740

Other names 1

  • Passaic Oral Surgery & Dental Implant Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1326919812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555740",
            "telephone_number": "973-471-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPG, OMS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "PEREZ-GOLDBERG",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-471-0099",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passaic Oral Surgery & Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.