NPIMap

Organization Active NPI

Randolph Center for Oral and Maxillofacial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Randolph, NJ
National Provider Identifier
1932019346
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
RANDOLPH CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC
Practice address
447 Route 10 E Ste 5
Randolph, NJ 07869-2132
Phone
(973) 328-1555
NPI assigned
Sep 9, 2026
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X

Addresses

Primary practice location

447 Route 10 E Ste 5
Randolph, NJ 07869-2132

Mailing address

447 Route 10 E Ste 5
Randolph, NJ 07869-2132
Phone (973) 328-1555

National Provider Directory

National Provider Directory
Tax ID family
Randolph Center for Oral and Maxillofacial Surgery LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

447 State Route 10
Ste 5
Randolph, NJ 07869
Phone (973) 328-0464

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1932019346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 ROUTE 10 E STE 5",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692132",
            "telephone_number": "973-328-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 ROUTE 10 E STE 5",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692132",
            "telephone_number": "973-328-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.