Riverside Oral Surgery - Chatham

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

RIVERSIDE ORAL SURGERY - CHATHAM

Practice address

33 Main St
Chatham, NJ 07928-2433

Phone

(973) 635-5800

NPI assigned

Jul 22, 2020

Last updated

Jul 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. Jason Michael Auerbach, DDSNPI 1336112648

Title

Owner

Phone

(917) 538-7853

Specialties & licenses 1

Addresses

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.

• Jason Michael Auerbach, DDS

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

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1801404231",
    "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": "33 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282433",
            "telephone_number": "973-635-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE ORAL SURGERY - CHATHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "AUERBACH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-538-7853",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard H McShane
• Kenneth J Rieger, M.D.
• Caitlin Jo Rienzi, MSOTR/L
• Richard D Riva, DDS
• Mary Anne M Rivera, MS PA
• William Robbins III, LCSW
• Briana Robertello, M.S CCC-SLP
• Marie K Robison, PT, DPT
• Joan A Roop, APRN
• Robert M Rosen, DMD

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