Active NPI
Riverside Oral Surgery - Warren
- Oral and Maxillofacial Surgery (Dentist)
- Warren, NJ
National Provider Identifier
1356080170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- RIVERSIDE ORAL SURGERY - WARREN
- Practice address
- 65 Mountain Blvd Ext Ste 106
Warren, NJ 07059-5658 - Phone
- (732) 356-1414
- NPI assigned
- May 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason M Auerabach, DDS
- Title
- Owner
- Phone
- (201) 487-6565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
65 Mountain Blvd Ext Ste 106
Warren, NJ 07059-5658
Mailing address
130 Kinderkamack Rd Ste 204
River Edge, NJ 07661-1931
Phone (201) 487-6565
Other names 1
- James McMenamin, DDS
National Provider Directory
National Provider DirectoryLocations
65 Mountain Blvd Ext
Ste 106
Warren, NJ 07059
Phone (732) 356-1414
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Toms River, NJ
- NPI 1669820940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653955200000",
"number": "1356080170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 KINDERKAMACK RD STE 204",
"city": "RIVER EDGE",
"state": "NJ",
"postal_code": "076611931",
"telephone_number": "201-487-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MOUNTAIN BLVD EXT STE 106",
"city": "WARREN",
"state": "NJ",
"postal_code": "070595658",
"telephone_number": "732-356-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE ORAL SURGERY - WARREN",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A",
"authorized_official_last_name": "AUERABACH",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-487-6565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"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": [
{
"organization_name": "James McMenamin, DDS",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Warren, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.