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

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

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
• 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.

Verify at the official NPI Registry.