SHORE ORAL AND MAXILLOFACIAL SURGERY, LLC (NPI# 1952680100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952680100 |
| Entity Type | Organization |
| Organization Name | SHORE ORAL AND MAXILLOFACIAL SURGERY, LLC |
| Practice Address |
54 W Jimmie Leeds Rd Suite 6 Galloway NJ 08205-9438 |
| Practice Telephone | 6097489600 |
| Practice Fax Number | 6097489611 |
| Mailing Telephone | 6097489600 |
| Mailing Fax Number | 6097489611 |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-10-18 |
| Authorized Official Name | DR. BORIS KALIKA (OWNER) |
| Authorized Official Telephone | 6097489600 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
22DI02243200 | NJ | Dental Providers |
| Street Address |
54 W JIMMIE LEEDS RD SUITE 6 |
| City | GALLOWAY |
| State | NJ |
| Zip Code | 08205-9438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427031681 | Nasser Eldien Borai | Internal Medicine | 54 W Jimmie Leeds Rd, Suites 11 & 12, Galloway, NJ 08205-9401 | 2005-11-22 |
| 1922647452 | Sherry Lynn Pharo | Nurse Practitioner | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2020-01-01 |
| 1043700495 | Atlanticare Health Services Inc. | Clinic/Center | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2018-05-11 |
| 1538513262 | Moomal Memon | Internal Medicine | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2016-04-19 |
| 1982010468 | Heart Health Center | Clinic/Center | 54 W Jimmie Leeds Rd, Suite # 14, Galloway, NJ 08205-9438 | 2014-07-07 |
| 1003249087 | Atlantic Oncology Associates, LLC | Internal Medicine | 54 W Jimmie Leeds Rd, Suite 11, Galloway, NJ 08205-9438 | 2013-08-14 |
| 1720365067 | Michael Peter Barone | Pharmacist | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2011-11-15 |
| 1043597859 | Brigita Ann Kelsey | Pharmacist | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2011-11-08 |
| 1518244680 | Anthony F Graziano | Pharmacist | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2011-11-03 |
| 1558650242 | Heart First Center LLC | Internal Medicine | 54 W Jimmie Leeds Rd, Suite 14, Galloway, NJ 08205-9438 | 2011-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1922640747 | Eve Atwell | Physical Therapist | 323 S. Pitney Rd, Galloway, NJ 08205 | 2019-10-14 |
| 1558911560 | Marcelo Pantaleon Alfaro Jr. | Non-emergency Medical Transport (VAN) | 403 Ebony Tree Ave., Galloway, NJ 08205 | 2019-09-12 |
| 1194374504 | Marsha J Brown | Technician | 27 Brampton St, Galloway, NJ 08205 | 2019-09-09 |
| 1790246296 | Jennifer Cella-roe | Social Worker | 309 S New York Rd Ste 10, Galloway, NJ 08205 | 2019-03-27 |
| 1952881450 | Center for Family Services, Inc. | Community/Behavioral Health | 312 East White Horse Pike, Absecon, NJ 08205 | 2018-08-15 |
| 1780178707 | Atlantic Community Charter School | Case Management | 112 South New York Rd, Galloway, NJ 08205 | 2018-06-22 |
| 1467985952 | Brian Pauling | Chiropractor | 506 S. New York Rd., Galloway, NJ 08205 | 2017-04-11 |
| 1598118903 | Career Opportunity Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Jim Leeds Road, Galloway, NJ 08205 | 2016-07-20 |
| 1033582085 | Caringhouse Projects, Inc | Respite Care | 506 2nd Avenue, Galloway, NJ 08205 | 2015-11-12 |
| Find all providers in zip 08205 | ||||
| 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 |
|---|---|---|---|---|
| 1932491479 | Roman Gregory Meyliker | Dentist | 54 W Jimmie Leeds Rd Ste 6, Galloway, NJ 08205-9438 | 2011-05-03 |
| 1346300860 | Boris Kalika | Dentist | 54 W Jimmie Leeds Rd, Suite 6, Galloway, NJ 08205-9438 | 2006-12-12 |
| 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 |
| 1255826939 | Riverside Oral Surgery - Livingston | Dentist | 209 S Livingston Ave Ste 2, Livingston, NJ 07039-4042 | 2018-06-26 |
| 1295249456 | Pa Dental LLC | Dentist | 17 Main St Ste 301, Robbinsville, NJ 08691-1401 | 2017-11-27 |
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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.