New Jersey Center for Oral & Maxillofacial Surgery

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DI19847 Issued in NJ

Legal business name

NEW JERSEY CENTER FOR ORAL & MAXILLOFACIAL SURGERY

Doing business as

COSA/Costello Oral Surgery Associates, LLC

Practice address

949 Spring Valley Rd
Maywood, NJ 07607-1452

Phone

(201) 712-5556

Fax

(201) 712-9190

NPI assigned

Nov 9, 2012

Organization subpart

No

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

Authorized official

Name

Michael Costello, DMDNPI 1336220466

Title

Owner

Phone

(201) 712-5556

Specialties & licenses 2

Addresses

Other names 1

• COSA/Costello Oral Surgery Associates, LLC Doing business as

Locations

Practitioners 3

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

• Michael A Costello, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Maywood, NJ
  • NPI 1336220466

  Oral and Maxillofacial Surgery

  NPD (past) Authorized official
• Tiffany Kuang, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Groton, MA
  • NPI 1083953533
  NPD (past)
• Robert Stutts III, DMD

  • General Practice Dentistry
  • Bronx, NY
  • NPI 1801811807
  NPD (past)

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1619221827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 SPRING VALLEY RD",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071452",
            "telephone_number": "201-712-5556",
            "fax_number": "201-712-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 SPRING VALLEY RD",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071452",
            "telephone_number": "201-712-5556",
            "fax_number": "201-712-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY CENTER FOR ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-712-5556",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI19847",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI19847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COSA/Costello Oral Surgery Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francis J Murdaco Jr., MD
• My Home Adult Day Care Center
• Veera Reddy E Nadakatla, PHARMACIST
• National Institute for People With Disabilities of New Jersey
• Neighbours-Inc
• New Jersey Center for Prostate Cancer and Urology, PC
• New Jersey Spinal Medicine and Surgery, P.a.
• Han Ngoc Nguyen, M.D.
• Nilay Shah MD PC
• Matthew Nilsen-Remedios, L.AC.

• Oral & Maxillofacial Surgery (D.M.D.) in Maywood, NJ
• Providers in Maywood, NJ by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.