Lacjr Facial Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

LACJR FACIAL SURGERY, LLC

Practice address

10 DRS James Parker Blvd Ste 101
Red Bank, NJ 07701-1500

Phone

(973) 943-2245

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Lucio Antonio Cardoso Jr., DDS, MDNPI 1629339866

Title

Owner/ Oral & Maxillofacial Surgeon

Phone

(973) 943-2245

Specialties & licenses 1

Addresses

Other names 1

• Cardoso Cosmetic Center for Facial Surgery Doing business as

Locations

Practitioners 1

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

• Lucio Antonio Cardoso Jr., DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Red Bank, NJ
  • NPI 1629339866
  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726876800000",
    "number": "1497532733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DRS JAMES PARKER BLVD STE 101",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011500",
            "telephone_number": "732-426-0552",
            "fax_number": "732-426-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DRS JAMES PARKER BLVD STE 101",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011500",
            "telephone_number": "973-943-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACJR FACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A",
        "authorized_official_last_name": "CARDOSO",
        "authorized_official_first_name": "LUCIO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER/ ORAL & MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "973-943-2245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardoso Cosmetic Center for Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardoso Cosmetic Center for Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raghu Kunamneni, M.D.
• Ruth Anne Kurtz, APN.C
• Wai Hung Edmund Kwong, M.D
• Vincent Anthony Labruna, DDS
• Dana Poli Labulis, M.M., LMFT
• Kathleen Laffan
• Jillian Lagrasse, BCBA
• Chrisovalantis Lakhiani, M.D.
• Courtney Lamourt, LSW
• Steven H Landers, MD, MPH

• Oral and Maxillofacial Surgery (Dentist) in Red Bank, NJ
• Providers in Red Bank, 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 Sep 21, 2024; 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.