Organization Active NPI

Albany Oral - Maxillofacial Surgery Group, LLP

  • Oral and Maxillofacial Surgery (Dentist)
  • Albany, NY
National Provider Identifier
1679704431
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ALBANY ORAL - MAXILLOFACIAL SURGERY GROUP, LLP
Practice address
2 Executive Park Dr
Albany, NY 12203-3700
Phone
(518) 446-1001
Fax
(518) 446-0802
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Dr. Lawrence James Busino, DDS
Title
Co Medical Director
Phone
(518) 446-1001

Specialties & licenses 1

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

Addresses

Primary practice location

2 Executive Park Dr
Albany, NY 12203-3700

Mailing address

2 Executive Park Dr
Albany, NY 12203-3700
Phone (518) 446-1001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1679704431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE PARK DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033700",
            "telephone_number": "518-446-1001",
            "fax_number": "518-446-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE PARK DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033700",
            "telephone_number": "518-446-1001",
            "fax_number": "518-446-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY ORAL - MAXILLOFACIAL SURGERY GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "BUSINO",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CO MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "518-446-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.