RIVERSIDE ORAL SURGERY-RIVER EDGE (NPI# 1962683334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962683334 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE ORAL SURGERY-RIVER EDGE |
| Other Organization Name | RIVERSIDE ORAL SURGERY |
| Practice Address |
130 Kinderkamack Rd Suite 204 River Edge NJ 07661-1939 |
| Practice Telephone | 2014876565 |
| Practice Fax Number | 2014874229 |
| Mailing Telephone | 2014876565 |
| Mailing Fax Number | 2014874229 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2016-09-07 |
| Authorized Official Name | DR. JASON MICHAEL AUERBACH (OWNER) |
| Authorized Official Telephone | 2014876565 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Riverside Oral Surgery | Other Name - Individual/Organization |
| Street Address |
130 KINDERKAMACK RD SUITE 204 |
| City | RIVER EDGE |
| State | NJ |
| Zip Code | 07661-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385225 | Robert James Gallo | Obstetrics & Gynecology | 130 Kinderkamack Rd, Suite 300, River Edge, NJ 07661-1939 | 2005-06-11 |
| 1346662012 | River Edge Family Dental | Dentist | 130 Kinderkamack Rd, Suite 303, River Edge, NJ 07661-1939 | 2014-01-14 |
| 1225367089 | Amerson Women Health Care | Obstetrics & Gynecology | 130 Kinderkamack Rd, Suite 300, River Edge, NJ 07661-1939 | 2009-12-08 |
| 1043415342 | Aditi Chhada | Specialist | 130 Kinderkamack Rd, Suite 301, River Edge, NJ 07661-1939 | 2007-06-18 |
| 1912042722 | Jeffrey M Gordon | Dentist | 130 Kinderkamack Rd, Suite 202, River Edge, NJ 07661-1939 | 2007-02-20 |
| 1780734277 | Marlen Martirossian | Dentist | 130 Kinderkamack Rd, Suite 306, River Edge, NJ 07661-1939 | 2007-01-10 |
| 1912060708 | Margaret S Ravits | Dermatology | 130 Kinderkamack Rd, River Edge, NJ 07661-1939 | 2006-12-19 |
| 1962565762 | Margaret Ravits Md | Dermatology | 130 Kinderkamack Rd, Suite 205, River Edge, NJ 07661-1939 | 2006-12-19 |
| 1750459467 | Hackensack Gastroenterology Associates | Specialist | 130 Kinderkamack Rd, Suite 301, River Edge, NJ 07661-1939 | 2006-12-01 |
| 1043383995 | Eric R Rosendorf | Internal Medicine | 130 Kinderkamack Rd, Suite 301, River Edge, NJ 07661-1939 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083005151 | Dongwuk Shin | Internal Medicine | 130 Kinderkamack Rd., River Edge, NJ 07661 | 2015-02-11 |
| 1093057861 | Faina Ratner | Registered Nurse | 168 Oxford Ter, Apt # 1, River Edge, NJ 07661 | 2013-03-20 |
| 1700077674 | William Peter Kalosieh | Marriage & Family Therapist | 739 Summit Ave, River Edge, NJ 07661 | 2007-08-06 |
| 1124220959 | Angela's Angels Home Health Agency | Home Health | 912 Kinderkamack Road, Suite 6, River Edge, NJ 07661 | 2007-06-04 |
| 1780801258 | James A Ruggiero | Dentist | 110 Kinderkamack Road, River Edge, NJ 07661 | 2007-04-19 |
| 1174608178 | Jay Paul Granat | Psychologist | 1060 Main Street, Suite 307, River Edge, NJ 07661 | 2006-10-26 |
| 1912967464 | Theodore Falk | Allergy & Immunology | 63 Grand Ave, Ste 100, River Edge, NJ 07661 | 2006-03-27 |
| 1386149870 | Sharyn Zisa | Social Worker | 1060 Main St Ste 303, River Edge, NJ 07661 | 2018-03-27 |
| 1760654776 | Mark David Chapman | Social Worker | 117 Kinderkamack Rd, 2nd Floor, River Edge, NJ 07661 | 2008-03-31 |
| 1861697286 | Loren M Gelberg-goff | Social Worker | 200 Oak Ave, River Edge, NJ 07661-1028 | 2007-06-16 |
| Find all providers in zip 07661 | ||||
| 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 |
|---|---|---|---|---|
| 1427220029 | Sung Hee Cho | Dentist | 130 Kinderkamack Rd Ste 204, River Edge, NJ 07661-1931 | 2008-03-24 |
| 1336112648 | Jason Michael Auerbach | Dentist | 130 Kinderkamack Rd, Suite 204, River Edge, NJ 07661-1931 | 2006-02-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | RIVER EDGE |
| Zip Code | 07661 |
Please comment or provide details below to improve the information on RIVERSIDE ORAL SURGERY-RIVER EDGE.
| 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.