RIVERSIDE ORAL SURGERY - LIVINGSTON (NPI# 1255826939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255826939 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE ORAL SURGERY - LIVINGSTON |
| Other Organization Name | RIVERSIDE ORAL SURGERY |
| Practice Address |
209 S Livingston Ave Ste 2 Livingston NJ 07039-4042 |
| Mailing Address |
130 Kinderkamack Rd Ste 204 River Edge NJ 07661-1931 |
| Practice Telephone | 9739924750 |
| Mailing Telephone | 2014876565 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |
| Authorized Official Name | MISS LISA D BROWN (OFFICE MANAGER) |
| Authorized Official Telephone | 2014876565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
22DI02584805 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STATE DENTAL LICENSE | 22DI02584805 | 01 |
| Other Name | Type Code |
|---|---|
| Riverside Oral Surgery | Doing Business As Name - Organization |
| Street Address |
209 S LIVINGSTON AVE STE 2 |
| City | LIVINGSTON |
| State | NJ |
| Zip Code | 07039-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184111 | Dentistry With A Smile, Inc. | Durable Medical Equipment & Medical Supplies | 1100 Town Center Way, 14-a-ii, Livingston, NJ 07039 | 2020-11-03 |
| 1326692104 | Amy Beth Lipsey | Social Worker | Amy Lipsey, 301 South Livingston Avenue, Livingston, NJ 07039 | 2019-07-30 |
| 1427543412 | Bodypro Physical Therapy, LLC | Physical Therapist | 5 Country Club Ct, Livingston, NJ 07039 | 2018-06-22 |
| 1538665245 | Kushal Shukla | Student in an Organized Health Care Education/Training Program | 20 Canoe Brook Dr, Livingston, NJ 07039 | 2018-04-02 |
| 1629594643 | Northeast Pulmonary and Sleep Medical LLC | Specialist | 506 Regent Street, Suite A, Livingston, NJ 07039 | 2017-08-22 |
| 1184154098 | Snf Old Short Hills Operating Company, LLC | Skilled Nursing Facility | 348 East Cedar Street, Livingston, NJ 07039 | 2017-06-13 |
| 1093254690 | Suzanne M Verbesky Dpm LLC | Clinic/Center | 44 West Mcclellan Avenue, Livingston, NJ 07039 | 2017-02-15 |
| 1649723743 | Essex County Weightloss, LLC | Internal Medicine | 5 Regent St Ste 509, Livingston, NJ 07039 | 2016-07-26 |
| 1912352824 | Grant Arzumanov | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd., Livingston, NJ 07039 | 2016-04-28 |
| 1891158671 | Journey's Eve Counseling LLC | Counselor | 2 Northfield Rd, 210a, Livingston, NJ 07039 | 2016-03-30 |
| Find all providers in zip 07039 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
|---|---|---|---|---|
| 1831253020 | Warren C Sordill | Dentist | 209 So Livingston Avenue, Suite 2, Livingston, NJ 07039 | 2006-12-21 |
| 1346320942 | Nancy Herbst | Dentist | 86 N Hillside Ave, Livingston, NJ 07039-1118 | 2006-10-17 |
| 1619234697 | Warren C. Sordill Dmd PC | Dentist | 209 S Livingston Ave, Suite 2, Livingston, NJ 07039-4044 | 2012-04-16 |
| 1871643502 | Gerald Geldzahler | Dentist | 340 E Northfield Rd, Suite 1-c, Livingston, NJ 07039-4892 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638861 | Riverside Oral Surgery - Edison | Dentist | 80 Route 27, Edison, NJ 08820-3985 | 2020-08-07 |
| 1881227056 | New Jersey Oral Surgery & Dental Implants LLC | Dentist | 87 Route 520, Morganville, NJ 07751-1241 | 2020-02-17 |
| 1003457441 | Madison Dentistry LLC | Dentist | 268 Main Street, Suite B, Madison, NJ 07940 | 2019-10-07 |
| 1508424284 | Posh Dental LLC | Dentist | 39 Tallman Pl Ste 2, Englewood, NJ 07631-2702 | 2019-05-29 |
| 1124598230 | Jc Oral Health Care Pa | Dentist | 103 Greene St Fl 2, Jersey City, NJ 07302-3868 | 2018-12-01 |
| 1801370366 | Palisades Park Dental P.C. | Dentist | 225 Broad Ave # 102, Palisades Park, NJ 07650-1588 | 2018-09-20 |
| 1881174969 | Bethel Oral Surgery & Implants, PC | Dentist | 1319 Anderson Ave Ste D, Fort Lee, NJ 07024-1734 | 2018-08-17 |
| 1790271641 | Morristown Oral Surgery & Implantology Associates LLC | Dentist | 290 Madison Ave Ste 1, Morristown, NJ 07960-7401 | 2018-07-03 |
| 1295249456 | Pa Dental LLC | Dentist | 17 Main St Ste 301, Robbinsville, NJ 08691-1401 | 2017-11-27 |
| 1043724222 | Robbinsville Oral and Maxillofacial Surgery LLC | Dentist | 2291 Route 33 Ste 1005, Hamilton, NJ 08690-1717 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
| City | LIVINGSTON |
| Zip Code | 07039 |
Please comment or provide details below to improve the information on RIVERSIDE ORAL SURGERY - LIVINGSTON.
| 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.