South Jersey Center for Oral & Maxillofacial Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SOUTH JERSEY CENTER FOR ORAL & MAXILLOFACIAL SURGERY, LLC

Practice address

Festival at Hamilton 4450 Black Horse Pike
Suite 3970
Mays Landing, NJ 08330-0000

Phone

(609) 909-0300

Fax

(609) 909-8943

NPI assigned

Apr 23, 2007

Last updated

Aug 22, 2020By 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

Mrs. Monika L. East

Title

Office Manager

Phone

(609) 909-0300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Rebekah R Brevard, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Cape May Court House, NJ
  • NPI 1982607891
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689892606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FESTIVAL AT HAMILTON 4450 BLACK HORSE PIKE",
            "address_2": "SUITE 3970",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083300000",
            "telephone_number": "609-909-0300",
            "fax_number": "609-909-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FESTIVAL AT HAMILTON 4450 BLACK HORSE PIKE",
            "address_2": "SUITE 3970",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083300000",
            "telephone_number": "609-909-0300",
            "fax_number": "609-909-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY CENTER FOR ORAL & MAXILLOFACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-909-0300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lidiane Siqueira de Azevedo, APN
• SJM Mobil Dental Care, LLC
• Dana M Smith, LPN
• Nicole Danielle Sochanski, LCSW
• Karen J Solofsky, O.D.
• South Jersey Pediatric Gastroenterology, LLC (Sjpedgi)
• Anita Lorraine Sparks
• Kareem H Spence, LPC
• Susan L Spiegel, CCC,SLP
• Sprague Dialysis LLC (Mays Landing Dialysis)

• Oral and Maxillofacial Surgery (Dentist) in Mays Landing, NJ
• Providers in Mays Landing, 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 Aug 22, 2020; 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.