Organization Active NPI

Albanese Oral & Maxillofacial Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Kennett Square, PA
National Provider Identifier
1336748870
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ALBANESE ORAL & MAXILLOFACIAL SURGERY PLLC
Practice address
300 Old Forge LN Ste 301
Kennett Square, PA 19348-1897
Phone
(484) 926-6001
Fax
(484) 926-6002
NPI assigned
Oct 24, 2020
Last updated
Feb 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Dr. Jay Albanese, DDS, MDNPI 1629395264
Title
Owner
Phone
(484) 926-6001

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 Primary

Addresses

Primary practice location

300 Old Forge LN Ste 301
Kennett Square, PA 19348-1897

Mailing address

300 Old Forge LN Ste 301
Kennett Square, PA 19348-1932
Phone (484) 926-6001

National Provider Directory

National Provider Directory

Locations

300 Old Forge Ln
Ste 301
Kennett Square, PA 19348
Phone (484) 926-6001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1336748870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OLD FORGE LN STE 301",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481932",
            "telephone_number": "484-926-6001",
            "fax_number": "484-926-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD FORGE LN STE 301",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481897",
            "telephone_number": "484-926-6001",
            "fax_number": "484-926-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANESE ORAL & MAXILLOFACIAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-24",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "ALBANESE",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-926-6001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "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": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.