Nutley Oral Surgery

Primary specialty

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

Legal business name

NUTLEY ORAL SURGERY

Practice address

175 Franklin Ave
Nutley, NJ 07110-3819

Phone

(973) 661-6200

NPI assigned

Apr 7, 2021

Organization subpart

No

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

Authorized official

Name

Cherie Fitzer

Title

Office Manager

Phone

(973) 661-6200

Specialties & licenses 1

Addresses

Other names 1

• Nutley Oral Surgery Doing business as

Electronic endpoints 1

Practitioners 1

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

• Hubert L. Gugala, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Roselle, NJ
  • NPI 1912159633
  NPD

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1457930398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103819",
            "telephone_number": "973-661-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103819",
            "telephone_number": "973-661-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTLEY ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "FITZER",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-661-6200"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.nutleyoralsurgery.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "175 Franklin Ave",
            "city": "Nutley",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071103819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nutley Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nutley Emergency Rescue
• Nutley Eye Care, LLC
• Nutley Family Dentists, LLC
• Nutley Family Service Bureau, Inc.
• Nutley Foot and Ankle PA
• Nutley Orthopaedic Group, PA
• Nutley Park Shop Rite Inc
• Nutley Public Schools
• Nutley Vascular Clinic
• Nutley Vision

• 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 Apr 7, 2021; 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.