George William Sandau, D.M.D., M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02195608 Issued in NJ

Practice address

15 School Rd E
Marlboro, NJ 07746-2062

Phone

(732) 625-2244

Fax

(732) 625-1244

NPI assigned

Jul 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. George William Sandau Other name

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

Credentials

Doctor of Medicine

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.

• Riverwalk Family Dental LLC

  • Dentist
  • Haddon Township, NJ
  • NPI 1659954915
  Medicare reassignment NPD
• John D Kernan DMD PA

  • General Practice Dentistry
  • Westmont, NJ
  • NPI 1689719288

  Single Specialty

  NPD
• Middletown Oral Surgery Associates, P.C.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Middletown, NJ
  • NPI 1245697432

  Single Specialty

  NPD

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1346430840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 MANTUA PIKE",
            "address_2": "STE 302",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971249",
            "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",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462062",
            "telephone_number": "732-625-2244",
            "fax_number": "732-625-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDAU",
        "first_name": "GEORGE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02195608",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DIO2195600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "SANDAU",
            "middle_name": "WILLIAM",
            "prefix": "DR.",
            "credential": "D.M.D., M.D., LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexandria Ruggiero, LCSW
• Karishma Ruparelia
• Elizabeth Rybnicky, OTR/L
• Christina Marie Samaan, MS, OTD, OTR/L
• Monica Alicia Sanchez, M.S. P.T.
• Ronald Sarill, DC
• Oren Schaham, RPH
• Jessica Schifter, APN
• Howard Schoenfeld, D.O.
• Michele Schulman

• 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 Aug 27, 2018; 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.