GARDEN STATE ORAL SURGERY PA (NPI# 1063690816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063690816 |
| Entity Type | Organization |
| Organization Name | GARDEN STATE ORAL SURGERY PA |
| Practice Address |
265 Baldwin Rd Parsippany NJ 07054-2007 |
| Practice Telephone | 9733355252 |
| Mailing Telephone | 9733355252 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |
| Authorized Official Name | DR. JOHN N KALLIS (OWNER) |
| Authorized Official Telephone | 9733355252 |
| 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 |
DI15472 | NJ | Dental Providers |
| Street Address |
265 BALDWIN RD |
| City | PARSIPPANY |
| State | NJ |
| Zip Code | 07054-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538470794 | John Vecchione Dds | Dentist | 265 Baldwin Rd, Parsippany, NJ 07054 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558838250 | Niramay Adult Day Care Center LLC | Clinic/Center | 280 Route 46, Parsippany, NJ 07054 | 2018-10-31 |
| 1205332244 | John T Doscher Jr. | Physical Therapist | 131 New Rd Ste 4, Parsippany, NJ 07054 | 2018-03-30 |
| 1184137739 | Samantha A Farid | Social Worker | 320 W Hanover Ave, Parsippany, NJ 07054 | 2017-11-06 |
| 1285144402 | Caring for Life Adult Medical Daycare | Clinic/Center | 120 E Halsey Road, Parsippany, NJ 07054 | 2017-10-02 |
| 1235651225 | Wegmans Food Markets, Inc | Pharmacy | 34 Sylvan Way, Parsippany, NJ 07054 | 2017-07-11 |
| 1649714775 | Krishna Modi | Pharmacist | 6 Pitman Rd, Parsippany, NJ 07054 | 2016-12-08 |
| 1821545435 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3503 Route 46, Parsippany, NJ 07054 | 2016-09-01 |
| 1558816603 | Luciann Cooke | Counselor | 90 E Halsey Rd Ste 369, Parsippany, NJ 07054 | 2016-08-18 |
| 1609220136 | Nadira Kwaja | Counselor | 1 Pinecrest Lane, Parsippany, NJ 07054 | 2016-04-21 |
| 1790145001 | Regional Cancer Care Ass | Health Educator | 9 Entin Rd, Parsippany, NJ 07054 | 2016-02-29 |
| Find all providers in zip 07054 | ||||
| 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 |
|---|---|---|---|---|
| 1598923187 | Eastern Dental of Parsippany, LLC | Dentist | 2936 Route 10 West, Parsippany, NJ 07950-1244 | 2008-05-30 |
| 1114264934 | Alliance Dental Specialties of East Brunswick | Dentist | 1180 Us Highway 46, Suite 211, Parsippany, NJ 07054-2142 | 2013-01-14 |
| 1538470794 | John Vecchione Dds | Dentist | 265 Baldwin Rd, Parsippany, NJ 07054 | 2010-06-23 |
| 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 | PARSIPPANY |
| Zip Code | 07054 |
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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.