Organization Active NPI

Morris Sussex Oral Surgery Associates, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Mount Arlington, NJ
National Provider Identifier
1336461037
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DI21734 Issued in NJ
Legal business name
MORRIS SUSSEX ORAL SURGERY ASSOCIATES, LLC
Practice address
22 Howard Blvd
Suite 201
Mount Arlington, NJ 07856-1532
Phone
(973) 601-0606
Fax
(973) 601-1444
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Kurt Notarnicola, DDSNPI 1477518181
Title
Co-Owner
Phone
(973) 601-0606

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 DI21734 NJ Primary

Addresses

Primary practice location

22 Howard Blvd
Suite 201
Mount Arlington, NJ 07856-1532

Mailing address

22 Howard Blvd
Suite 201
Mount Arlington, NJ 07856-1532
Phone (973) 601-0606

National Provider Directory

National Provider Directory

Locations

22 Howard Blvd
Ste 201
Mount Arlington, NJ 07856
Phone (973) 601-0606

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": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1336461037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HOWARD BLVD",
            "address_2": "SUITE 201",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561532",
            "telephone_number": "973-601-0606",
            "fax_number": "973-601-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HOWARD BLVD",
            "address_2": "SUITE 201",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561532",
            "telephone_number": "973-601-0606",
            "fax_number": "973-601-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS SUSSEX ORAL SURGERY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "NOTARNICOLA",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "973-601-0606",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI21734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Arlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.