JP ORAL SURGERY ASSOCIATES PC (NPI# 1174986822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174986822 |
| Entity Type | Organization |
| Organization Name | JP ORAL SURGERY ASSOCIATES PC |
| Practice Address |
21 N Gilbert St Suite 210 Tinton Falls NJ 07701-4950 |
| Practice Telephone | 7327470993 |
| Mailing Telephone | 7327470993 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |
| Authorized Official Name | MR. JUSTIN CHARLES PONQUINETTE (OWNER) |
| Authorized Official Telephone | 7327470993 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
0400696228 | NJ | Ambulatory Health Care Facilities |
| Street Address |
21 N GILBERT ST SUITE 210 |
| City | TINTON FALLS |
| State | NJ |
| Zip Code | 07701-4950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982696985 | Donald A Macdonald Jr. | Ophthalmology | 21 N Gilbert St, Suite 200, Tinton Falls, NJ 07701-4913 | 2005-08-17 |
| 1134411150 | Advanced Maxillofacial Imaging Services | Clinic/Center | 21 N Gilbert St, Tinton Falls, NJ 07701-4950 | 2011-05-10 |
| 1740386994 | Cardiac Care Center LLC | Specialist | 21 N Gilbert St, Tinton Falls, NJ 07701-4950 | 2006-09-15 |
| 1023089778 | David S Zukoff | Internal Medicine | 21 N Gilbert St, Tinton Falls, NJ 07701-4950 | 2006-01-31 |
| 1891765269 | Arthur A O'keefe | Internal Medicine | 21 N Gilbert St, Tinton Falls, NJ 07701-4950 | 2006-01-26 |
| 1184694028 | Aristotelis E Vlahos | Internal Medicine | 21 N Gilbert St, Tinton Falls, NJ 07701-4950 | 2006-01-24 |
| 1215921291 | Judith Simon | Ophthalmology | 21 N Gilbert St, Tinton Falls, NJ 07701-4950 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447801659 | Kelsey M Simonson | Occupational Therapist | 15 Fowler Court, Red Bank, NJ 07701 | 2019-09-28 |
| 1225697816 | Professional Occupational & Physical Therapy, Pllc | Occupational Therapist | 39 East Front Street, Red Bank, NJ 07701 | 2019-06-07 |
| 1164992483 | Christine Elizabeth Fernandez | Social Worker | 1 Corbett Say, Eatontown, NJ 07701 | 2018-11-29 |
| 1346725330 | The Tms Center of New Jersey PC | Psychiatry & Neurology | 55 North Gilbert St, Suite 2203, Tinton Falls, NJ 07701 | 2018-09-26 |
| 1194205187 | Enlightening Counseling & Educational Services, LLC | Social Worker | 331 Newman Springs Rd. Bldg.1, 4th Floor, Suite 143, Red Bank, NJ 07701 | 2018-08-19 |
| 1013405794 | Susan Obrien | Registered Nurse | 270 New Jersey 35, Red Bank, NJ 07701 | 2018-04-27 |
| 1477055952 | Alexandra Gingerelli | Counselor | 48 Reckless Place, Red Bank, NJ 07701 | 2018-03-01 |
| 1841702529 | Felicia Dawn Stoler | Dietitian, Registered | 31 Leroy Place, Red Bank, NJ 07701 | 2017-11-02 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1891225769 | Asha One Pharmacy LLC | Pharmacy | 224 Shrewsbury Avenue, Red Bank, NJ 07701 | 2017-06-14 |
| Find all providers in zip 07701 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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 |
|---|---|---|---|---|
| 1891959888 | Exclusive Oral Surgery | Clinic/Center | 63 Valley St, South Orange, NJ 07079-2824 | 2008-07-18 |
| 1871075796 | Master Dental Center LLP | Clinic/Center | 8412 Kennedy Blvd, North Bergen, NJ 07047-4265 | 2018-09-06 |
| 1003264326 | Optimum Oral Surgery Group LLC | Clinic/Center | 2301 E Evesham Rd, Suite 211, Voorhees, NJ 08043-4501 | 2016-05-26 |
| 1073915369 | Oral and Maxillofacial Surgery and Implant Specialists of Middlesex | Clinic/Center | 295 Durham Ave, Suite 213, South Plainfield, NJ 07080-2548 | 2014-09-18 |
| 1568755817 | Progressive Oral Surgery LLC | Clinic/Center | 168 Franklin Tpke, Waldwick, NJ 07463-1848 | 2011-05-19 |
| 1740591064 | Vc Oral and Maxillofacial Surgery | Clinic/Center | 1530 Palisade Ave, Fort Lee, NJ 07024-5471 | 2010-07-01 |
| 1396069118 | Exclusive Oral Surgery | Clinic/Center | 2055 Hamburg Tpke, Wayne, NJ 07470-6297 | 2010-03-23 |
| 1184959041 | Berkeley Cosmetic Implant and Family Dentistry, P.C. | Clinic/Center | 261 Springfield Ave, Suite 100, Berkeley Heights, NJ 07922-1264 | 2009-10-11 |
| 1407008931 | Center for Oral & Maxillofacial Surgery & Dental Implantology P.C. | Clinic/Center | 15 School Rd E, Suite #1, Marlboro, NJ 07746-2062 | 2008-10-15 |
| 1851547178 | Frank J. Poplawski,d.m.d.,pa | Clinic/Center | 310 Lacey Rd, Forked River, NJ 08731-2618 | 2008-08-18 |
| Find all providers with the same taxonomy | ||||
| City | TINTON FALLS |
| Zip Code | 07701 |
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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.