Active NPI
Aocom Surgery LLC
- Oral and Maxillofacial Surgery (Dentist)
- Brick, NJ
National Provider Identifier
1487810974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DI13715
- Legal business name
- AOCOM SURGERY LLC
- Practice address
- 35 Beaverson Blvd
Suite 10a Lions Head Office Park
Brick, NJ 08723-7812 - Phone
- (732) 920-8800
- Fax
- (732) 920-8861
- NPI assigned
- Aug 4, 2008
- Last updated
- Aug 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory John Vergos, DMD,MD
- Title
- Surgeon
- Phone
- (732) 920-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DI13715 | NJ | Primary |
Addresses
Primary practice location
35 Beaverson Blvd
Suite 10a Lions Head Office Park
Brick, NJ 08723-7812
Mailing address
35 Beaverson Blvd.
Suite 10a Lions Head Office Park
Brick, NJ 08723
Phone (732) 920-8800
National Provider Directory
National Provider DirectoryLocations
35 Beaverson Blvd
Ste 10A
Brick, NJ 08723
Phone (732) 920-8800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1487810974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 BEAVERSON BLVD.",
"address_2": "SUITE 10A LIONS HEAD OFFICE PARK",
"city": "BRICK",
"state": "NJ",
"postal_code": "08723",
"telephone_number": "732-920-8800",
"fax_number": "732-920-8861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 BEAVERSON BLVD",
"address_2": "SUITE 10A LIONS HEAD OFFICE PARK",
"city": "BRICK",
"state": "NJ",
"postal_code": "087237812",
"telephone_number": "732-920-8800",
"fax_number": "732-920-8861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AOCOM SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-04",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "VERGOS",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "SURGEON",
"authorized_official_telephone_number": "732-920-8800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD,MD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NJ",
"license": "DI13715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.