Clifton Oral & Maxillofacial Surgery, P.a.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CLIFTON ORAL & MAXILLOFACIAL SURGERY, P.A.

Practice address

1439 Broad St
Clifton, NJ 07013-4221

Phone

(973) 778-7171

Fax

(973) 916-0696

NPI assigned

Oct 18, 2006

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

Dr. Glenn Nicholas Gorab, D.M.D.NPI 1700862059

Title

Oral Surgeon

Phone

(973) 778-7171

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Glenn N Gorab, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Clifton, NJ
  • NPI 1700862059
  NPD (past) Authorized official
• Lindsay Jane Scoggins, DMD

  • Dentist
  • Morristown, NJ
  • NPI 1639308927
  NPD (past)
• Brett King, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • New Orleans, LA
  • NPI 1669541231
  NPD (past)
• Jason Harold Lustig, DDS MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Shreveport, LA
  • NPI 1750347498
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740361724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134221",
            "telephone_number": "973-778-7171",
            "fax_number": "973-916-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134221",
            "telephone_number": "973-778-7171",
            "fax_number": "973-916-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON ORAL & MAXILLOFACIAL SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORAB",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "973-778-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifton Medical Imaging PA (Clifton Medical Imaging Center)
• Clifton Medical Pain & Rehabilitation Center
• Clifton Medicine
• Clifton MRI LLC
• Clifton OBGYN, LLC
• Clifton Orthodontics LLC
• Clifton Orthopedic Associates P.a.
• Clifton Pain & Rehab Center
• Clifton Pain & Rehab Cneter
• Clifton Pain & Vein LLC

• Oral and Maxillofacial Surgery (Dentist) in Clifton, NJ
• Providers in Clifton, 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.