Omar Francisco Mayorga, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02765600 Issued in NJ

Practice address

622 Georges Rd Ste 101
North Brunswick, NJ 08902-3377

Phone

(732) 249-1020

NPI assigned

May 2, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Magic Smile of NJ, LLC

  • Dentist
  • North Brunswick, NJ
  • NPI 1619765203
  NPD Authorized official

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1871158196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 GEORGES RD STE 101",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023377",
            "telephone_number": "732-249-1020",
            "fax_number": "732-249-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 GEORGES RD STE 101",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023377",
            "telephone_number": "732-249-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYORGA",
        "first_name": "OMAR",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02765600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha N. Shapiro, LCSW, BCD, LLC
• Matthew T Furlong Jr LPC
• John W Maurer, PT, DPT
• Maxim Sulla,DDS, Professional Association
• Maximum Health & Wellness North Brunswick LLC
• Chrishonda Curry McCoy
• Tina F McGowan, Lac
• Shanique McGowan, LCSW
• Jacqueline McKenzie
• Matthew Anthony McQuillan, PA-C

• Dentist in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.