Northeast Oral and Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

NORTHEAST ORAL AND MAXILLOFACIAL SURGERY

Practice address

310 Passaic Ave Ste 203
Fairfield, NJ 07004-2523

Phone

(973) 256-0103

NPI assigned

Feb 4, 2025

Organization subpart

No

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

Authorized official

Name

Marianne Cifelli, DMDNPI 1912117821

Title

Oral Surgeon

Phone

(973) 256-0103

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Marianne Cifelli, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Clifton, NJ
  • NPI 1912117821
  NPD Authorized official
• Richard P Szumita, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Fairfield, NJ
  • NPI 1558312181
  NPD

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1841004454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PASSAIC AVE STE 203",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042523",
            "telephone_number": "973-256-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PASSAIC AVE STE 203",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042523",
            "telephone_number": "973-256-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "CIFELLI",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "973-256-0103",
        "authorized_official_credential": "DMD"
    },
    "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": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Fairfield, NJ
• Providers in Fairfield, 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 Feb 4, 2025; 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.