RARITAN BAY ORAL SURGERY NPI 1528702891

NPI Information

NPI: 1528702891
Provider Name: RARITAN BAY ORAL SURGERY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
453 AMBOY AVE STE 2
WOODBRIDGE, NJ
ZIP 07095
Phone: (732) 442-1860
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RARITAN BAY ORAL SURGERY is a dental clinic center in Woodbridge, NJ. RARITAN BAY ORAL SURGERY NPI is 1528702891. The provider is registered as an organization entity type.

The provider's business location address is:

453 AMBOY AVE STE 2
WOODBRIDGE, NJ
ZIP 07095-949
Phone: (732) 442-1860
Fax: (732) 874-5198

The provider's authorized official is George Flugrad .
The authorized official title is Oral Surgeron/owner and has the following contact phone number (732) 442-1860.

The enumeration date for this NPI number is 4/23/2022 and was last updated on 4/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1598745531	MEDICAID	NEW JERSEY
2	0285391	MEDICAID	NEW JERSEY
3	1873407	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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