NPIMap

Organization Active NPI

Denville Oral & Maxillofacial Surgeons, LLC

  • Surgery Physician
  • Denville, NJ
National Provider Identifier
1982873709
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
067896 Issued in NJ
Legal business name
DENVILLE ORAL & MAXILLOFACIAL SURGEONS, LLC
Practice address
35 W. Main Street.
Suite 101
Denville, NJ 07834
Phone
(973) 627-6006
Fax
(973) 627-6006
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Ms. Scott Allan Cohen, M.D., D.D.SNPI 1528087319
Title
President/Owner
Phone
(973) 627-6006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 067896 NJ Primary

Addresses

Primary practice location

35 W. Main Street.
Suite 101
Denville, NJ 07834

Mailing address

35 W Main Street
Suite 101
Denville, NJ 07834
Phone (973) 627-6006

Other names 1

  • Advanced Oral Surgery Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140123000626 NJ Part B Supplier - Clinic/Group Practice 4587890264 Receives reassigned benefits from 1 practitioner
Practice locations: Denville, NJ; Hackettstown, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1982873709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W MAIN STREET",
            "address_2": "SUITE 101",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "07834",
            "telephone_number": "973-627-6006",
            "fax_number": "973-627-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W. MAIN STREET.",
            "address_2": "SUITE 101",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "07834",
            "telephone_number": "973-627-6006",
            "fax_number": "973-627-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVILLE ORAL & MAXILLOFACIAL SURGEONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "973-627-6006",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D., D.D.S"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "067896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Oral Surgery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.