Active NPI
Riverside Oral Surgery-River Edge
- Oral and Maxillofacial Surgery (Dentist)
- River Edge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- RIVERSIDE ORAL SURGERY-RIVER EDGE
- Practice address
- 130 Kinderkamack Rd
Suite 204
River Edge, NJ 07661-1939 - Phone
- (201) 487-6565
- Fax
- (201) 487-4229
- NPI assigned
- Nov 14, 2007
- Last updated
- Sep 7, 2016
- 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. Jason Michael Auerbach, DDS
- Title
- Owner
- Phone
- (201) 487-6565
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
130 Kinderkamack Rd
Suite 204
River Edge, NJ 07661-1939
Mailing address
130 Kinderkamack Rd
Suite 204
River Edge, NJ 07661-1939
Phone (201) 487-6565
Other names 1
- Riverside Oral Surgery
National Provider Directory
National Provider DirectoryLocations
130 Kinderkamack Rd
Ste 204
River Edge, NJ 07661
Phone (201) 487-6565
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- River Edge, NJ
- NPI 1336112648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473206400000",
"number": "1962683334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 KINDERKAMACK RD",
"address_2": "SUITE 204",
"city": "RIVER EDGE",
"state": "NJ",
"postal_code": "076611939",
"telephone_number": "201-487-6565",
"fax_number": "201-487-4229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 KINDERKAMACK RD",
"address_2": "SUITE 204",
"city": "RIVER EDGE",
"state": "NJ",
"postal_code": "076611939",
"telephone_number": "201-487-6565",
"fax_number": "201-487-4229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE ORAL SURGERY-RIVER EDGE",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-14",
"last_updated": "2016-09-07",
"status": "A",
"authorized_official_last_name": "AUERBACH",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-487-6565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"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": [
{
"organization_name": "Riverside Oral Surgery",
"code": "5",
"type": "Other Name"
}
]
}Other providers in River Edge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.