Individual provider Active NPI

Brandon Andrew Oks, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Englewood, NJ
National Provider Identifier
1508354267
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
07483 Issued in NJ
Practice address
300 Grand Ave Ste 102
Englewood, NJ 07631-6300
Phone
(201) 894-0888
NPI assigned
Apr 27, 2018
Last updated
May 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02789100 NJ
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 064216 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 07483 NJ Primary

Addresses

Primary practice location

300 Grand Ave Ste 102
Englewood, NJ 07631-6300

Mailing address

300 Grand Ave Ste 102
Englewood, NJ 07631-6300
Phone (201) 894-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 29, 2025 through May 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22DI02789100NJMDDentist
07483NJMDOral and Maxillofacial Surgery (Dentist)
064216NYMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1508354267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GRAND AVE STE 102",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076316300",
            "telephone_number": "201-894-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GRAND AVE STE 102",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076316300",
            "telephone_number": "201-894-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKS",
        "first_name": "BRANDON",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02789100",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "064216",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "07483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.