Organization Active NPI

Morristown Oral Surgery & Implantology Associates LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Morristown, NJ
National Provider Identifier
1790271641
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22D102454800 Issued in NJ
Legal business name
MORRISTOWN ORAL SURGERY & IMPLANTOLOGY ASSOCIATES LLC
Practice address
290 Madison Ave Ste 1
Morristown, NJ 07960-7401
Phone
(973) 538-5338
Fax
(973) 538-5343
NPI assigned
Jul 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

Name
Dr. James Chu-Wen Fang, DDSNPI 1689744088
Title
Owner
Phone
(646) 643-3178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 22D102454800 NJ Primary

Addresses

Primary practice location

290 Madison Ave Ste 1
Morristown, NJ 07960-7401

Mailing address

2299 Stocker LN
Scotch Plains, NJ 07076-2119
Phone (646) 643-3195

National Provider Directory

National Provider Directory

Locations

290 Madison Ave
Ste 1
Morristown, NJ 07960
Phone (973) 538-5338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1790271641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 STOCKER LN",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070762119",
            "telephone_number": "646-643-3195",
            "fax_number": "973-538-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE STE 1",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607401",
            "telephone_number": "973-538-5338",
            "fax_number": "973-538-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISTOWN ORAL SURGERY & IMPLANTOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHU-WEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-643-3178",
        "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": "NJ",
            "license": "22D102454800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.