Advanced Oral & Maxillofacial Surgery

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

22DI01861300 Issued in NJ

Legal business name

ADVANCED ORAL & MAXILLOFACIAL SURGERY

Practice address

270 Spring Valley Rd
Paramus, NJ 07652-5343

Phone

(201) 262-2667

Fax

(201) 262-2608

NPI assigned

Jun 6, 2013

Last updated

Jun 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Defalco, DDS

Title

Owner

Phone

(201) 262-2667

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alberto Mario Goldwaser, M.D.

  • Forensic Psychiatry Physician
  • Hackensack, NJ
  • NPI 1083766000
  NPD (past)

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1619315124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 SPRING VALLEY RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525343",
            "telephone_number": "201-262-2667",
            "fax_number": "201-262-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 SPRING VALLEY RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525343",
            "telephone_number": "201-262-2667",
            "fax_number": "201-262-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "DEFALCO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-262-2667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "22DI01861300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Preferred Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.