NPIMap

Organization Active NPI

Edison-Clark Oral Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Edison, NJ
National Provider Identifier
1568522993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
EDISON-CLARK ORAL SURGERY ASSOCIATES
Practice address
1857 Oak Tree Rd
Edison, NJ 08820-2779
Phone
(732) 548-7824
Fax
(732) 548-2051
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Frayda Kleiman, R.D.H.
Title
Office Manager
Phone
(732) 548-7824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1857 Oak Tree Rd
Edison, NJ 08820-2779

Mailing address

1857 Oak Tree Rd
Edison, NJ 08820-2779
Phone (732) 548-7824

National Provider Directory

National Provider Directory

Locations

1857 Oak Tree Rd
Edison, NJ 08820
Phone (732) 548-7824

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568522993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202779",
            "telephone_number": "732-548-7824",
            "fax_number": "732-548-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202779",
            "telephone_number": "732-548-7824",
            "fax_number": "732-548-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON-CLARK ORAL SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEIMAN",
        "authorized_official_first_name": "FRAYDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-548-7824",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D.H."
    },
    "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": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.