Active NPI
Riverside Oral Surgery - Chatham
- Oral and Maxillofacial Surgery (Dentist)
- Chatham, NJ
National Provider Identifier
1801404231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Michael Auerbach, DDS
- Title
- Owner
- Phone
- (917) 538-7853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
33 Main St
Chatham, NJ 07928-2433
Mailing address
130 Kinderkamack Rd Ste 204
River Edge, NJ 07661-1931
Phone (201) 487-6565
National Provider Directory
National Provider DirectoryLocations
130 Kinderkamack Rd
Ste 204
River Edge, NJ 07661
Phone (201) 487-6565
NPI Registry JSON
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": []
}
Other providers in Chatham, NJ
Sources for this page
- 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.