Palisades Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DI20747 Issued in NJ

Legal business name

PALISADES ORAL SURGERY

Practice address

1530 Palisade Ave
Fort Lee, NJ 07024-5471

Phone

(201) 585-8282

Fax

(201) 585-0805

NPI assigned

Feb 7, 2008

Last updated

Feb 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Carrao, DDS MDNPI 1417945767

Title

Owner

Phone

(201) 585-8282

Specialties & licenses 1

Addresses

Locations

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.

• Vincent Carrao, DDS, MD

  • Oral and Maxillofacial Pathology Dentistry
  • Fort Lee, NJ
  • NPI 1417945767
  Authorized official Same address or phone

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1376721746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 PALISADE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245471",
            "telephone_number": "201-585-8282",
            "fax_number": "201-585-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 PALISADE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245471",
            "telephone_number": "201-585-8282",
            "fax_number": "201-585-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "CARRAO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-585-8282",
        "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": "NJ",
            "license": "DI20747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neetha Devassy Palatty, RPH
• Palisade Anesthesia, LLC
• Palisade Plastic Surgery Associates PC
• Palisade Surgery Center LLC
• Palisades Dental Associates PC
• Palisades Park Podiatry PC (Choice Podiatry of NJ)
• Palisades Surgical Suites, LLC
• Palisdes Periodontics
• Elizabeth Palughi
• Chang S Park, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Fort Lee, NJ
• Providers in Fort Lee, 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 Feb 7, 2008; 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.