Organization Active NPI

Aocom Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Brick, NJ
National Provider Identifier
1487810974
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DI13715 Issued in NJ
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.