Warren Oral & Maxillofacial Surgery Associates, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

02036700 Issued in NJ

Legal business name

WARREN ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, LLC

Practice address

58 Mount Bethel Rd
Suite 202
Warren, NJ 07059-2654

Phone

(908) 222-7922

Fax

(908) 222-7923

NPI assigned

Jul 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Daniel SullivanNPI 1649376468

Title

Office Manager

Phone

(908) 222-7922

Specialties & licenses 1

Addresses

Other names 1

• Warren Oral Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

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

• Daniel Peter Sullivan, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Warren, NJ
  • NPI 1649376468
  Medicare reassignment Care Compare group NPD Authorized official
• Taneenop Aramphongphan, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Bloomington, IL
  • NPI 1750766358

  NJ

  Medicare reassignment Care Compare group
• Sejin Bae

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Danville, PA
  • NPI 1528697109

  NJ

  Medicare reassignment NPD
• Sanjeet R Chaudhary, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Marietta, GA
  • NPI 1396977369
  NPD (past)

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1447548607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MOUNT BETHEL RD",
            "address_2": "SUITE 202",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592654",
            "telephone_number": "908-222-7922",
            "fax_number": "908-222-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MOUNT BETHEL RD",
            "address_2": "SUITE 202",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592654",
            "telephone_number": "908-222-7922",
            "fax_number": "908-222-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-222-7922",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "02036700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warren Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pin Wang, LMT
• Victor Wang, D.M.D.
• Warren Dental & Specialty Group, LLC
• Warren Dermatology Associates LLC
• Warren Internal Medicine, P.C.
• Warren Oral & Maxillofacial Surgery Center, LLC
• Warren Pediatric Associates
• Warren Physical Therapy & Wellness LLC
• Warren Senior Care, LLC
• Warren Township Board of Education

• Oral and Maxillofacial Surgery (Dentist) in Warren, NJ
• Providers in Warren, 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 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.