Individual provider Active NPI

Marie F Woke, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Randolph, NJ
National Provider Identifier
1730429465
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI02515000 Issued in NJ
Practice address
447 Route 10 Ste 5
Randolph, NJ 07869
Phone
(973) 328-1555
Fax
(973) 328-3405
NPI assigned
Feb 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI02515000 NJ Primary

Addresses

Primary practice location

447 Route 10 Ste 5
Randolph, NJ 07869

Mailing address

447 Route 10 Ste 5
Randolph, NJ 07869-2132
Phone (973) 328-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02515000NJMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Oral Pathology Associates, LLC PastSince Oct 21, 2013 Accepting new patients
Randolph Center for Oral and Maxillofacial Surgery, PA Oral and Maxillofacial Surgery PastSince Mar 16, 2007 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1360972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1730429465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 ROUTE 10 STE 5",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692132",
            "telephone_number": "973-328-1555",
            "fax_number": "973-328-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 ROUTE 10 STE 5",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869",
            "telephone_number": "973-328-1555",
            "fax_number": "973-328-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOKE",
        "first_name": "MARIE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-16",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02515000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.