OPTIMUM ORAL SURGERY GROUP LLC (NPI# 1003264326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003264326 |
| Entity Type | Organization |
| Organization Name | OPTIMUM ORAL SURGERY GROUP LLC |
| Practice Address |
2301 E Evesham Rd Suite 211 Voorhees NJ 08043-4501 |
| Practice Telephone | 8567721500 |
| Practice Fax Number | 8567720711 |
| Mailing Telephone | 8567721500 |
| Mailing Fax Number | 8567720711 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2019-08-27 |
| Authorized Official Name | DONALD REBHUN (OWNER) |
| Authorized Official Telephone | 8567721500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
12708 | NJ | Ambulatory Health Care Facilities |
| Street Address |
2301 E EVESHAM RD SUITE 211 |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515763 | Ofelia Ramoso Mangubat | Pediatrics | 2301 E Evesham Rd, The Pavilions of Voorhees, Ste 405, Voorhees, NJ 08043-4501 | 2005-08-11 |
| 1356949499 | Flannery Farrell | Advanced Practice Midwife | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2020-10-12 |
| 1215554043 | Renata Siruckova | Advanced Practice Midwife | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2020-06-27 |
| 1124658943 | David Zweiback Do | Internal Medicine | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2020-01-21 |
| 1407393770 | Regional Women's Health Group, LLC | Obstetrics & Gynecology | 2301 E Evesham Rd, 305, Voorhees, NJ 08043-4501 | 2017-01-25 |
| 1144673609 | Amita Talati Md LLC | Psychiatry & Neurology | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2016-07-20 |
| 1689033789 | Salveo LLC | Obstetrics & Gynecology | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2016-02-17 |
| 1366845547 | Elisabeth Horowitz M.d. LLC | Internal Medicine | 2301 E Evesham Rd, Suite 402, Voorhees, NJ 08043-4501 | 2014-10-02 |
| 1205238276 | Susan Delancy | Physician Assistant | 2301 E Evesham Rd, Suite 505, Voorhees, NJ 08043-4501 | 2014-09-22 |
| 1497186167 | Lotus Integrated Longevity Anti-aging Center, Inc. | Specialist | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2013-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891959888 | Exclusive Oral Surgery | Clinic/Center | 63 Valley St, South Orange, NJ 07079-2824 | 2008-07-18 |
| 1871075796 | Master Dental Center LLP | Clinic/Center | 8412 Kennedy Blvd, North Bergen, NJ 07047-4265 | 2018-09-06 |
| 1174986822 | Jp Oral Surgery Associates PC | Clinic/Center | 21 N Gilbert St, Suite 210, Tinton Falls, NJ 07701-4950 | 2016-03-31 |
| 1073915369 | Oral and Maxillofacial Surgery and Implant Specialists of Middlesex | Clinic/Center | 295 Durham Ave, Suite 213, South Plainfield, NJ 07080-2548 | 2014-09-18 |
| 1568755817 | Progressive Oral Surgery LLC | Clinic/Center | 168 Franklin Tpke, Waldwick, NJ 07463-1848 | 2011-05-19 |
| 1740591064 | Vc Oral and Maxillofacial Surgery | Clinic/Center | 1530 Palisade Ave, Fort Lee, NJ 07024-5471 | 2010-07-01 |
| 1396069118 | Exclusive Oral Surgery | Clinic/Center | 2055 Hamburg Tpke, Wayne, NJ 07470-6297 | 2010-03-23 |
| 1184959041 | Berkeley Cosmetic Implant and Family Dentistry, P.C. | Clinic/Center | 261 Springfield Ave, Suite 100, Berkeley Heights, NJ 07922-1264 | 2009-10-11 |
| 1407008931 | Center for Oral & Maxillofacial Surgery & Dental Implantology P.C. | Clinic/Center | 15 School Rd E, Suite #1, Marlboro, NJ 07746-2062 | 2008-10-15 |
| 1851547178 | Frank J. Poplawski,d.m.d.,pa | Clinic/Center | 310 Lacey Rd, Forked River, NJ 08731-2618 | 2008-08-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.