Elizabeth Oral and Maxillofacial Surgical Group LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI00789900 Issued in NJ

Legal business name

ELIZABETH ORAL AND MAXILLOFACIAL SURGICAL GROUP LLC

Practice address

429 Westfield Ave
Elizabeth, NJ 07208-1620

Phone

(908) 289-7511

Fax

(908) 289-3421

NPI assigned

Nov 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Frederick Meiselman, DDS

Title

Owner

Phone

(908) 289-7511

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1477707628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 WESTFIELD AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081620",
            "telephone_number": "908-289-7511",
            "fax_number": "908-289-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 WESTFIELD AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081620",
            "telephone_number": "908-289-7511",
            "fax_number": "908-289-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH ORAL AND MAXILLOFACIAL SURGICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "MEISELMAN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-289-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI00789900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Medical Group PA
• Elizabeth Pediatric Group, LLC
• Elizabeth Pharmacy Inc
• Elizabeth Physical Therapy & Elizabeth Foot and Ankle Association
• Elizabeth Primary Care, LLC
• Elizabeth Public Schools

• Oral and Maxillofacial Surgery (Dentist) in Elizabeth, NJ
• Providers in Elizabeth, 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 Nov 13, 2008; 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.