Prestige Oral Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI0233870 Issued in NJ

Legal business name

PRESTIGE ORAL SURGERY LLC

Practice address

3700 Route 27
Suite 103
Princeton, NJ 08540-9610

Phone

(732) 297-7000

Fax

(732) 297-3638

NPI assigned

Mar 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed S Erakat, DMD, MDNPI 1891963666

Title

Owner

Phone

(571) 228-4139

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.

• Mohammed Saleh Erakat, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Princeton, NJ
  • NPI 1891963666
  NPD (past) Authorized official

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1437576733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 ROUTE 27",
            "address_2": "SUITE 103",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409610",
            "telephone_number": "732-297-7000",
            "fax_number": "732-297-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 ROUTE 27",
            "address_2": "SUITE 103",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409610",
            "telephone_number": "732-297-7000",
            "fax_number": "732-297-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE ORAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "ERAKAT",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-228-4139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI0233870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of New Jersey Medical PC (Bloomberg Health Center- Skillman)
• Premise Health of New Jersey Medical PC (Munich Re Wellness Center)
• Prentgraf LTD (TalkPath Live)
• Sharon H Press, PHD
• Mark J Pressman, MD
• Princeton a Municipal Organization
• Princeton Acuhealth
• Princeton Aftercare, Inc. (Princeton Aftercare)
• Princeton Anesthesia Services, PC
• Princeton Ballet Society

• Oral and Maxillofacial Surgery (Dentist) in Princeton, NJ
• Providers in Princeton, 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 Mar 25, 2014; 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.