Active NPI
Park Place Oral Surgery LLC
- Dentist
- Newark, NJ
National Provider Identifier
1942986104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- PARK PLACE ORAL SURGERY LLC
- Practice address
- 50 Park PL Ste 1540
Newark, NJ 07102-4301 - Phone
- (973) 643-1130
- NPI assigned
- Jun 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Skolnick, DMD
- Title
- Ceo
- Phone
- (973) 643-1130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
50 Park PL Ste 1540
Newark, NJ 07102-4301
Mailing address
50 Park PL Ste 1540
Newark, NJ 07102-4301
Phone (973) 643-1130
National Provider Directory
National Provider DirectoryLocations
50 Park Pl
Ste 1540
Newark, NJ 07102
Phone (973) 643-1130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Newark, NJ
- NPI 1659329530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687478400000",
"number": "1942986104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 PARK PL STE 1540",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071024301",
"telephone_number": "973-643-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 PARK PL STE 1540",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071024301",
"telephone_number": "973-643-1130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK PLACE ORAL SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-23",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A",
"authorized_official_last_name": "SKOLNICK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "973-643-1130",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.