Oral & Maxillofacial Assoc of Nutley

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

D1016959 Issued in NJ

Legal business name

ORAL & MAXILLOFACIAL ASSOC OF NUTLEY

Practice address

187 Washington Avenue
Suite 1B
Nutley, NJ 07110

Phone

(973) 667-5844

Fax

(973) 667-6653

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Philip M Echo, DMDNPI 1730396029

Title

Oral Surgeon

Phone

(973) 667-5844

Specialties & licenses 2

Addresses

Other names 1

• Oral & Maxillofacial Assocciates of Nutley, LLC Other name

Tax ID family

Oral and Maxillofacial Assoc of Nutley2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oral and Maxillofacial Assoc of Nutley

  • Oral and Maxillofacial Surgery (Dentist)
  • Nutley, NJ
  • NPI 1811088701
  NPD tax ID

Locations

Practitioners 2

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

• Philip M Echo, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Nutley, NJ
  • NPI 1730396029
  NPD (past) Authorized official
• Eric Chiccone, MD, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Hermosa Beach, CA
  • NPI 1174157945
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1457417495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 WASHINGTON AVENUE",
            "address_2": "SUITE 1B",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "07110",
            "telephone_number": "973-667-5844",
            "fax_number": "973-667-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 WASHINGTON AVENUE",
            "address_2": "SUITE 1B",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "07110",
            "telephone_number": "973-667-5844",
            "fax_number": "973-667-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL ASSOC OF NUTLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "ECHO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "973-667-5844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NJ",
            "license": "D1016959",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NJ",
            "license": "D1017058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral & Maxillofacial Assocciates of Nutley, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gabriel Jared Ollins, D.D.S
• Omega Medical Group, P.C.
• Oncology Associates of North Jersey Limited Liability Company
• One on One Occupational Therapy PA
• Maria A. Ongoco-Kamhi, MS, CRC, LAC
• Oral and Maxillofacial Assoc of Nutley
• Alexandra Oskam, LCSW
• Carlos A Ospina
• Angel Luis Pagan, FNP
• Jose A Pagan, D.M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.