The Clifton Center for Oral Surgery and Jaw Reconstruction LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

18029 Issued in NJ

Legal business name

THE CLIFTON CENTER FOR ORAL SURGERY AND JAW RECONSTRUCTION LLC

Practice address

905 Allwood Rd
Suite 202
Clifton, NJ 07012-1945

Phone

(973) 955-0100

Fax

(973) 955-0264

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Pat Hernandez

Title

Office Manager

Phone

(973) 955-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Ali Elsayed Mohammed Elsayed, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Montclair, NJ
  • NPI 1871702977
  NPD (past)

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1427281351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 ALLWOOD RD",
            "address_2": "SUITE 202",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121945",
            "telephone_number": "973-955-0100",
            "fax_number": "973-955-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ALLWOOD RD",
            "address_2": "SUITE 202",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121945",
            "telephone_number": "973-955-0100",
            "fax_number": "973-955-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLIFTON CENTER FOR ORAL SURGERY AND JAW RECONSTRUCTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-955-0100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "18029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203262",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Center for Chiropractic and Rehabilitation, LLC
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• The Childbirth Center, PA
• The Chiropractic Center at Styertowne, LLC
• The Flourishing Self Psychotherapy LLC
• The Greater Zen Counseling & Wellness House
• The Human Growth Center of New Jersey Inc
• The Learning Center
• The Princeton Physical Therapy Group, PC

• Dental Clinic/Center in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.