Facial and Oral Surgery Specialists PLLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

FACIAL AND ORAL SURGERY SPECIALISTS PLLC

Practice address

55 W Red Oak LN
White Plains, NY 10604-3608

Phone

(914) 500-8985

Fax

(914) 500-8986

NPI assigned

Jul 21, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Tarek Korban, DMD, MDNPI 1598095267

Title

Owner

Phone

(914) 500-8985

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Tarek Korban, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • West Harrison, NY
  • NPI 1598095267

  Oral & Maxillofacial Surgery

  NPD Authorized official
• Matthew Clark, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • W Harrison, NY
  • NPI 1396905188

  Oral & Maxillofacial Surgery

  NPD

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1831762467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W RED OAK LN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043608",
            "telephone_number": "914-500-8985",
            "fax_number": "914-500-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W RED OAK LN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043608",
            "telephone_number": "914-500-8985",
            "fax_number": "914-500-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIAL AND ORAL SURGERY SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "KORBAN",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-500-8985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03648886",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eyes by Claudine, Inc.
• Eyes on U, Inc
• Claude-Michael Edmund Chiemeka Ezie, MD
• Vivian Ezugwu, RN
• Aubrey N Faber, PHD
• Sami Faddoul, MD
• Karen Faeth
• Elyse Falk, M.S., R.D.
• Stefanie Falk
• Alexis Fall, NP

• All providers in White Plains, NY
• Oral & Maxillofacial Surgery (D.M.D.) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.