Organization Active NPI

Ridgewood Oral Surgery Center LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Glen Rock, NJ
National Provider Identifier
1659944601
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
RIDGEWOOD ORAL SURGERY CENTER LLC
Practice address
385 S Maple Ave Ste 207
Glen Rock, NJ 07452-1545
Phone
(201) 444-5355
NPI assigned
Jul 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Victoria Johnson
Title
Cro
Phone
(941) 444-0558

Specialties & licenses 1

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

Addresses

Primary practice location

385 S Maple Ave Ste 207
Glen Rock, NJ 07452-1545

Mailing address

385 S Maple Ave Ste 207
Glen Rock, NJ 07452-1545

Other practice location 1

255 E Main St # 1
Ramsey, NJ 07446-1902
Phone (201) 236-5050

Other names 1

  • Dental Care Alliance Other name

National Provider Directory

National Provider Directory

Locations

385 S Maple Ave
Ste 207
Glen Rock, NJ 07452
Phone (201) 380-2236

Practitioners & affiliated clinicians

Practitioners 4

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": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1659944601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 S MAPLE AVE STE 207",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S MAPLE AVE STE 207",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521545",
            "telephone_number": "201-444-5355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 E Main St # 1",
            "address_purpose": "LOCATION",
            "city": "Ramsey",
            "state": "NJ",
            "postal_code": "074461902",
            "country_code": "US",
            "telephone_number": "201-236-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIDGEWOOD ORAL SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "941-444-0558"
    },
    "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": [
        {
            "organization_name": "Dental Care Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glen Rock, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.