Randolph Center for Oral and Maxillofacial Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

RANDOLPH CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC

Practice address

616 Willow Grove St Ste 4
Hackettstown, NJ 07840-1779

Phone

(908) 813-9500

NPI assigned

Sep 9, 2026

Last updated

Sep 9, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

RANDOLPH CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLCAs reported in NPPES

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

Authorized official

Name

Michaela Muniz

Title

VP, Payor Relations

Phone

(469) 324-3242

Specialties & licenses 2

Addresses

Tax ID family

Randolph Center for Oral and Maxillofacial Surgery LLC6 organizations share this tax ID, including this one

Part of

Randolph Center for Oral and Maxillofacial Surgery LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Randolph Center for Oral and Maxillofacial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Newton, NJ
  • NPI 1477463883
  NPD tax ID
• Randolph Center for Oral and Maxillofacial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Brick, NJ
  • NPI 1528978939
  NPD tax ID
• Randolph Center for Oral and Maxillofacial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Sparta, NJ
  • NPI 1659281061
  NPD tax ID
• Randolph Center for Oral and Maxillofacial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Flanders, NJ
  • NPI 1801706213
  NPD tax ID
• Randolph Center for Oral and Maxillofacial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Randolph, NJ
  • NPI 1932019346
  NPD tax ID

Locations

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1992615306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 WILLOW GROVE ST STE 4",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401779",
            "telephone_number": "908-813-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 WILLOW GROVE ST STE 4",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401779",
            "telephone_number": "908-813-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANDOLPH CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiation Medicine of Hackettstown
• Radiology Associates of Hackettstown LLC (Imagecare at Hackettstown RAH)
• Sidrah Rafiq, M.D.
• Narenderan Rajan, DMD
• Shayan Rakhit, PHARM. D.
• Kimberly Anne Raso, LSW
• Rachna Rastogi
• Eric Paul Rauschenberger, LPC
• Syed Mohsin Raza, MD
• Corinne E Reamer, RNFA

• Oral and Maxillofacial Surgery (Dentist) in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.