Nicholas James Tedeschi, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22D100919300 Issued in NJ

Practice address

992 Mantua Pike
Suite 302 Westwood Oral Surgery Associates PA
Woodbury Heights, NJ 08097-1246

Phone

(856) 845-1341

Fax

(856) 384-9067

NPI assigned

Aug 30, 2005

Last updated

Jan 25, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Westwood Oral Surgery Associates PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Woodbury Heights, NJ
  • NPI 1689667149
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1841283314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 MANTUA PIKE",
            "address_2": "SUITE 302 WESTWOOD ORAL SURGERY ASSOCIATES PA",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971246",
            "telephone_number": "856-845-1341",
            "fax_number": "856-384-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 MANTUA PIKE",
            "address_2": "SUITE 302 WESTWOOD ORAL SURGERY ASSOCIATES PA",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971246",
            "telephone_number": "856-845-1341",
            "fax_number": "856-384-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCHI",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22D100919300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MANAGED CARE",
            "identifier": "0085538000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "160716",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA NJ",
            "identifier": "09193/1715",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "160716ATL",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "17707",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Stpierre
• Superior Physical Therapy of Woodbury Inc
• Stanley Szumski, PA-C
• Tara M. Tomasso, M.D., L.L.C.
• Robert Michael Tartaglione, DDS
• The Wounded Healer, Inc. D/B/a My Friends House Family Counseling Serv (My Friends House Family Counseling Services)
• The Wounded Healer, Inc. D/B/a My Friends House Family Counseling Serv
• The Wounded Healer, Inc. D/B/a My Friends House Family Counseling Serv (My Friends House Family Counseling Service)
• Tara M Tomasso, M.D.
• Kathleen A Trow, CRNP

• Oral and Maxillofacial Surgery (Dentist) in Woodbury Heights, NJ
• Providers in Woodbury Heights, 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 Jan 25, 2011; 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.