Riverside Oral Surgery - Edison-Clark

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

RIVERSIDE ORAL SURGERY - EDISON-CLARK

Practice address

1857 Oak Tree Rd
Edison, NJ 08820-2779

Phone

(201) 487-6565

NPI assigned

Feb 23, 2021

Last updated

Feb 23, 2021By 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. Jason M Auerbach, DDSNPI 1336112648

Title

Owner

Phone

(201) 487-6565

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jason Michael Auerbach, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • River Edge, NJ
  • NPI 1336112648
  Authorized official Same address or phone
• Bruce A. Huberman, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Edison, NJ
  • NPI 1194798249
  NPD
• Glenn R. Regenye, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Edison, NJ
  • NPI 1992778054
  NPD

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1689268427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KINDERKAMACK RD STE 204",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611931",
            "telephone_number": "201-487-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202779",
            "telephone_number": "201-487-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE ORAL SURGERY - EDISON-CLARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "AUERBACH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-487-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rivera Erazo
• Alicia Rivera-O'Hara, PTA
• Jose Rivera
• Victoria Rivera, LSW
• Riverside Oral Surgery - Edison
• Haider Rizvi, DPT
• Anthony Rizzo, LPC
• RN USA LLC
• RNJ Services, Inc (premier medical laboratory)
• Daniel Ilchoong Ro, MD

• Oral and Maxillofacial Surgery (Dentist) in Edison, NJ
• Providers in Edison, 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 Feb 23, 2021; 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.