Magic Smile of NJ, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MAGIC SMILE OF NJ, LLC

Practice address

622 Georges Rd Ste 101
North Brunswick, NJ 08902-3377

Phone

(782) 249-1020

NPI assigned

Apr 25, 2025

Last updated

Apr 25, 2025By 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. Omar Mayorga, DMDNPI 1871158196

Title

Owner

Phone

(782) 249-1020

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Omar Francisco Mayorga, DMD

  • Dentist
  • North Brunswick, NJ
  • NPI 1871158196
  NPD Authorized official
• Philip G Schrager, D.D.S.

  • General Practice Dentistry
  • North Brunswick, NJ
  • NPI 1306060413
  NPD (past)

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1619765203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 GEORGES RD STE 101",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023377",
            "telephone_number": "782-249-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 GEORGES RD STE 101",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023377",
            "telephone_number": "782-249-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC SMILE OF NJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "MAYORGA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "782-249-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rupali Shah Lubchansky, NBC-HWC, CPT, FMCHC
• Ashley N Lurker, LPC
• Luxottica of America Inc. (Target #4865)
• Andrew Ma, D.D.S.
• Edward S Magaziner, MD
• Majestic Healthcare and Educational Services
• Priya Malini, NP
• Joseph Mancuso, PT
• Timothy Mancuso
• Urmila Mane, OTR/L, CBS

• Dentist in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.