RIVERSIDE ORAL SURGERY- ENGLEWOOD LLC (NPI# 1962912832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962912832 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE ORAL SURGERY- ENGLEWOOD LLC |
| Practice Address |
300 Grand Ave Ste 102 Englewood NJ 07631-6300 |
| Mailing Address |
130 Kinderkamack Rd Ste 204 River Edge NJ 07661-1931 |
| Practice Telephone | 2014876565 |
| Practice Fax Number | 2014874229 |
| Mailing Telephone | 2014876565 |
| Mailing Fax Number | 2014874229 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| 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 |
| Street Address |
300 GRAND AVE STE 102 |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| 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 |
|---|---|---|---|---|
| 1508424284 | Posh Dental LLC | Dentist | 39 Tallman Pl Ste 2, Englewood, NJ 07631-2702 | 2019-05-29 |
| 1417299132 | Lauren Elizabeth Basile | Dentist | 3701 S Clarkson St Ste 300, Englewood, CO 80113-3960 | 2013-03-20 |
| 1124016472 | Ronald Federman | Dentist | 40 N Van Brunt St, Suite 29, Englewood, NJ 07631-2740 | 2005-10-11 |
| 1689661845 | Joseph Edward Novak | Dentist | 5120 S Broadway, Englewood, CO 80113-9303 | 2005-10-04 |
| 1841492956 | Cara Overbeck Dds Pa | Dentist | 900 Pine St, Suite 121, Englewood, FL 34223-4418 | 2007-06-01 |
| 1558452607 | Murray Kendall Jacobs | Dentist | 3701 S Clarkson St, Suite 300, Englewood, CO 80113-3958 | 2006-09-27 |
| 1972609667 | Thomas Leslie Stone | Dentist | 3701 S Clarkson St, Suite 300, Englewood, CO 80113-3958 | 2006-09-16 |
| 1083719868 | Steven J Yamamoto | Dentist | 601 E Hampden, Suite 250, Englewood, CO 80113 | 2006-09-14 |
| 1609838192 | Steven Briggs Aragon | Dentist | 125 Inverness Dr E, Suite 100, Englewood, CO 80112-5137 | 2006-04-03 |
| 1407842008 | James David Sexton | Dentist | 125 Inverness Dr E, Suite 100, Englewood, CO 80112-5137 | 2005-09-20 |
| Find all providers in ENGLEWOOD | ||||
Please comment or provide details below to improve the information on RIVERSIDE ORAL SURGERY- ENGLEWOOD LLC.
| 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.