Organization Active NPI

North Jersey Maxillo-Facial Services LLC

  • Specialist
  • Madison, NJ
National Provider Identifier
1376882324
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
DI15181 Issued in NJ
Legal business name
NORTH JERSEY MAXILLO-FACIAL SERVICES LLC
Practice address
120 Park Ave
Madison, NJ 07940-1559
Phone
(973) 377-7088
NPI assigned
Feb 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Dr. Samuel RomanoNPI 1356466759
Title
Dr Samuel Romano
Phone
(973) 377-7088

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X DI15181 NJ Primary

Addresses

Primary practice location

120 Park Ave
Madison, NJ 07940-1559

Mailing address

120 Park Ave
Madison, NJ 07940-1559
Phone (973) 377-7088

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1376882324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PARK AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401559",
            "telephone_number": "973-377-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PARK AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401559",
            "telephone_number": "973-377-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY MAXILLO-FACIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "DR SAMUEL ROMANO",
        "authorized_official_telephone_number": "973-377-7088",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "DI15181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.