Organization Active NPI

Center for Oral & Maxillofacial Surgery & Dental Implantology P.C.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Marlboro, NJ
National Provider Identifier
1407008931
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
22DI02185300 Issued in NJ
Legal business name
CENTER FOR ORAL & MAXILLOFACIAL SURGERY & DENTAL IMPLANTOLOGY P.C.
Practice address
15 School Rd E
Suite #1
Marlboro, NJ 07746-2062
Phone
(732) 625-2244
Fax
(732) 625-1244
NPI assigned
Oct 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Dr. Edward Kozlovsky, D.M.D.
Title
Owner
Phone
(732) 625-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 22DI02185300 NJ Primary

Addresses

Primary practice location

15 School Rd E
Suite #1
Marlboro, NJ 07746-2062

Mailing address

15 School Rd E
Suite #1
Marlboro, NJ 07746-2062
Phone (732) 625-2244

National Provider Directory

National Provider Directory

Locations

15 School Rd E
Ste 1
Marlboro, NJ 07746
Phone (732) 625-2244

Practitioners & affiliated clinicians

Practitioners 1

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": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1407008931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SCHOOL RD E",
            "address_2": "SUITE #1",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462062",
            "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",
            "address_2": "SUITE #1",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462062",
            "telephone_number": "732-625-2244",
            "fax_number": "732-625-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORAL & MAXILLOFACIAL SURGERY & DENTAL IMPLANTOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "KOZLOVSKY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-625-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02185300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.