Subtelny Face & Jaw LLC

Primary specialty

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

Legal business name

SUBTELNY FACE & JAW LLC

Practice address

6040 Blvd E Apt 17G
West New York, NJ 07093-3841

Phone

(607) 351-0187

NPI assigned

Jan 19, 2026

Organization subpart

No

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

Authorized official

Name

Benjamin Joseph Subtelny, DDSNPI 1992325195

Title

Managing Member

Phone

(201) 509-5648

Specialties & licenses 1

Addresses

Other names 1

• Benjamin Subtelny LLC Former legal business name

Practitioners 1

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

• Benjamin J Subtelny, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • New York, NY
  • NPI 1992325195

  Oral and Maxillofacial Surgery

  NPD Authorized official

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1477412062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 BLVD E APT 17G",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070933841",
            "telephone_number": "201-509-5648",
            "fax_number": "973-833-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 BLVD E APT 17G",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070933841",
            "telephone_number": "607-351-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBTELNY FACE & JAW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "SUBTELNY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-509-5648",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benjamin Subtelny LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Oral & Maxillofacial Surgery (D.M.D.) in West New York, NJ
• Providers in West New York, 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 Aug 13, 2026; 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.