DR. LAURENCE DAVID SUSSMAN (NPI# 1912948746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912948746 |
| Entity Type | Individual |
| Full Name | DR. LAURENCE DAVID SUSSMAN |
| Credential | DDS |
| Practice Address |
158 Main St Matawan NJ 07747-4104 |
| Mailing Address |
21 Liberty Knls Colts Neck NJ 07722-1363 |
| Practice Telephone | 7325667648 |
| Practice Fax Number | 7325661919 |
| Mailing Telephone | 7327413377 |
| Mailing Fax Number | 7327414955 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
12856 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FED DEA NUMBER | AS9688120 | 01 | |
| NJ | NJ LICENCE NUMBER | 12856 | 01 |
| Street Address |
158 MAIN ST |
| City | MATAWAN |
| State | NJ |
| Zip Code | 07747-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316238181 | Downtown Osteoporosis Center | Internal Medicine | 158 Main St, Suite 100, Matawan, NJ 07747 | 2011-04-27 |
| 1750693214 | Guirguis Medical Care, LLC | Internal Medicine | 158 Main St, Suite 100, Matawan, NJ 07747-4104 | 2010-07-12 |
| 1093030454 | Matawan Medical Center LLC | Internal Medicine | 158 Main St, Suite 101, Matawan, NJ 07747-4104 | 2010-03-29 |
| 1427383983 | Brian Christopher Paterson | Dentist | 158 Main St, Suite 103, Matawan, NJ 07747-4104 | 2009-10-16 |
| 1649476052 | Dudley W Robinson II | Dentist | 158 Main St, Suite 106, Matawan, NJ 07747 | 2007-06-22 |
| 1629289905 | Michael Scagnelli | Dentist | 158 Main St, Box 405, Matawan, NJ 07747 | 2007-05-25 |
| 1497819940 | Cristina Z Xenachis | Internal Medicine | 158 Main St, Ste 100, Matawan, NJ 07747-4104 | 2006-12-20 |
| 1164596268 | Central Jersey Oral and Maxillofacial Surgery,p.a. | Dentist | 158 Main St, Matawan, NJ 07747-4104 | 2006-11-20 |
| 1669545455 | Midjersey Oral and Maxillofacial Surgery,llc | Dentist | 158 Main St, Matawan, NJ 07747-4104 | 2006-11-17 |
| 1114955499 | John Michael Mcelroy | Dentist | 158 Main St, Matawan, NJ 07747-4104 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730169 | Therapy Enlightens, LLC | Counselor | 811 Sloan Court, Matawan, NJ 07747 | 2019-09-26 |
| 1831748045 | Adam Fan | Physical Therapist | 1016 Hwy 34 Matawan, Building 9, Matawan, NJ 07747 | 2019-09-10 |
| 1255819843 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St., Apt. 110, Aberdeen, NJ 07747 | 2018-08-06 |
| 1023547775 | Claire Casey | Counselor | 166 Main Strreet, Matawan, NJ 07747 | 2017-06-07 |
| 1174975361 | Danielle Barakat | Behavioral Analyst | 2 Mill Rd, Apt 2, Matawan, NJ 07747 | 2016-07-12 |
| 1275982019 | Angel Cardenas | Social Worker | 1208 Route 34 Tower 2 Suite 20, Aberdeen, NJ 07747 | 2016-06-10 |
| 1891175931 | Gabriella Taube | Dentist | 1130 Nj-34, Aberdeen Township, NJ 07747 | 2015-06-03 |
| 1639423874 | Bayshore Ems, Inc | Ambulance | 260 Church Street, Aberdeen, NJ 07747 | 2012-11-08 |
| 1689959462 | Michael Ruggiero | Counselor | 104 Wellington Place, Aberdeen, NJ 07747 | 2011-10-12 |
| 1619258407 | Maressa Nordstrom | Counselor | 196 Main St Ste 103, Matawan, NJ 07747 | 2011-09-07 |
| Find all providers in zip 07747 | ||||
| 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 |
|---|---|---|---|---|
| 1427383983 | Brian Christopher Paterson | Dentist | 158 Main St, Suite 103, Matawan, NJ 07747-4104 | 2009-10-16 |
| 1942330683 | Ralph B Famiglietti | Dentist | 125 Main Street, Matawan, NJ 07747 | 2007-03-06 |
| 1164596268 | Central Jersey Oral and Maxillofacial Surgery,p.a. | Dentist | 158 Main St, Matawan, NJ 07747-4104 | 2006-11-20 |
| 1669545455 | Midjersey Oral and Maxillofacial Surgery,llc | Dentist | 158 Main St, Matawan, NJ 07747-4104 | 2006-11-17 |
| 1114955499 | John Michael Mcelroy | Dentist | 158 Main St, Matawan, NJ 07747-4104 | 2006-06-28 |
| 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.