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

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 MD

Title

Owner

Phone

(201) 585-8282

Specialties & licenses 1

Addresses

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
• 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.