Allison Derenzi, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02822300 Issued in NJ

Practice address

175 Morristown Rd Ste 103
Basking Ridge, NJ 07920-1660

Phone

(908) 395-0111

NPI assigned

Jun 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ridge Oral Surgery, Inc

  • Oral and Maxillofacial Surgery Clinic/Center
  • Basking Ridge, NJ
  • NPI 1790485233
  NPD
• Ride Oral Surgery Summit PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Summit, NJ
  • NPI 1164384277
  NPD (past)

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1649895863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MORRISTOWN RD STE 103",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201660",
            "telephone_number": "908-395-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MORRISTOWN RD STE 103",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201660",
            "telephone_number": "908-395-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERENZI",
        "first_name": "ALLISON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02822300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De Omilia Plastic Surgery PC
• Delta Community Supports, Inc.
• Denis a. Vu, D.M.D., P.C.
• Department of Veterans Affairs, NJ Health Care System
• Lauren Deprima
• Peggy L Derosa, PTA
• Amy Desai
• Mira Desai, LPC
• Purvi D Desai, PA-C
• Ruchita Desai, PHARM. D.

• Oral and Maxillofacial Surgery (Dentist) in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.