Loftus-Mermer Oral Surgical Associates

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

LOFTUS-MERMER ORAL SURGICAL ASSOCIATES

Practice address

10101 Academy Rd
Suite 203
Philadelphia, PA 19114-1120

Phone

(215) 281-3400

Fax

(215) 281-3477

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert W Mermer, D.D.S.

Title

President

Phone

(215) 281-3400

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Loftus, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Philadelphia, PA
  • NPI 1437258316
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972602621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 ACADEMY RD",
            "address_2": "SUITE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141120",
            "telephone_number": "215-281-3400",
            "fax_number": "215-281-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 ACADEMY RD",
            "address_2": "SUITE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141120",
            "telephone_number": "215-281-3400",
            "fax_number": "215-281-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOFTUS-MERMER ORAL SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-281-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "175253",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "175253",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0060890000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "17411",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Loewus
• Peter Charles Lofaso, D.O.
• Caitlin Leiva Lofton, MD
• Paula Lofton
• Courtney J. Lofts, NNP-BC
• Alyssa Dinardo Loftus, PMHNP-BC
• Christopher Miranda Loftus, MD
• Michael J Loftus, DDS
• Logan Health Center Inc
• Logan Operator LLC

• Oral and Maxillofacial Pathology Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Oral and Maxillofacial Pathology Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.