Organization Active NPI

North Jersey Center for Oral & Maxillofacial Surgery PA

Doing business as North Jersey Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Teaneck, NJ
National Provider Identifier
1982788501
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
NORTH JERSEY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PA
Doing business as
North Jersey Oral and Maxillofacial Surgery
Practice address
315 Cedar LN
2ND FL
Teaneck, NJ 07666-3442
Phone
(201) 692-7737
Fax
(201) 287-9716
NPI assigned
Oct 24, 2006
Last updated
Jan 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Dr. Jerald S Friedman, DDSNPI 1659455194
Title
Owner
Phone
(201) 692-7737

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

315 Cedar LN
2ND FL
Teaneck, NJ 07666-3442

Mailing address

315 Cedar LN
2ND Floor
Teaneck, NJ 07666-3442
Phone (201) 692-7737

Other names 1

  • North Jersey Oral and Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

315 Cedar Ln
Ste 2
Teaneck, NJ 07666
Phone (201) 692-7737

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1982788501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CEDAR LN",
            "address_2": "2ND FLOOR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663442",
            "telephone_number": "201-692-7737",
            "fax_number": "201-287-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CEDAR LN",
            "address_2": "2ND FL",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663442",
            "telephone_number": "201-692-7737",
            "fax_number": "201-287-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-692-7737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Jersey Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.