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GARDEN STATE ORAL & MAXILLOFACIAL SURGERY, LLC
NPI 1104249226
Dentist - Oral and Maxillofacial Surgery in Elmwood Park, NJ

Active since January 24, 2014
1 BROADWAY, SUITE 101, ELMWOOD PARK, NJ 07407(201) 794-3344(201) 794-0454 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Garden State Oral & Maxillofacial Surgery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARDEN STATE ORAL & MAXILLOFACIAL SURGERY, LLC (NPI 1104249226) is a healthcare organization registered as an oral and maxillofacial surgery in Elmwood Park, New Jersey and active in the NPI registry since January 2014. The organization lists Stuart Katz, President, as its authorized official.

NPPES Registry Identity

NPI1104249226
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGARDEN STATE ORAL & MAXILLOFACIAL SURGERY, LLC
Location Address1 BROADWAY, SUITE 101Elmwood Park, NJ 07407-1842
Mailing Address1 Broadway, Suite 101Elmwood Park, NJ 07407-1842 · (201) 794-3344 · Fax (201) 794-0454
Phone(201) 794-3344
Fax(201) 794-0454
Organization SubpartNo
Authorized OfficialStuart KatzPresident · (201) 794-3344
Enumeration DateJanuary 24, 2014
✔ NPI 1104249226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in NJ · DI15847✔ Licensed in NJ · DI21870
Definition
An oral and maxillofacial surgery dentist specialized in 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.
1 BROADWAY, Elmwood Park, NJ 07407
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Other Identifiers 1

Medicare UPINU28119NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABSOLUTE HEALTH CARE, P.C.
Specialist
1 BROADWAY, SUITE 301
ELMWOOD PARK, NJ 07407
Bergen County (201) 771-3100
EYE CARE ASSOCIATES OF NEW JERSEY, PA
Ophthalmology
1 BROADWAY, SUITE 404
ELMWOOD PARK, NJ 07407
Bergen County (201) 797-5100
MS. KARYN AUSTIN MSN, APN, CPNP
Nurse Practitioner (Pediatrics)
1 BROADWAY, SUITE 303
ELMWOOD PARK, NJ 07407
Bergen County (201) 794-8855
DR. SUSAN PAKRAVAN COCOZIELLO M.D.
Specialist
1 BROADWAY, SUITE 105
ELMWOOD PARK, NJ 07407
Bergen County (201) 773-6777
RUTH ESTHER ROBERT RN
Registered Nurse
1 BROADWAY
ELMWOOD PARK, NJ 07407
Bergen County (201) 797-6616
ALEX AND SUSAN COCOZIELLO
Specialist
1 BROADWAY, SUITE 303
ELMWOOD PARK, NJ 07407
Bergen County (201) 794-7717
GREGORY I DUBOVER D.D.S.
Dentist (General Practice)
1 BROADWAY, 2ND FLOOR SUITE 202
ELMWOOD PARK, NJ 07407
Bergen County (201) 791-7005
DR. LEONID A PORTUGEYS DDS
Dentist
1 BROADWAY, 4C
ELMWOOD PARK, NJ 07407
Bergen County (201) 791-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garden State Oral & Maxillofacial Surgery, LLC's NPI number?

The NPI number for Garden State Oral & Maxillofacial Surgery, LLC is 1104249226. It was assigned to this organization in the NPPES registry on January 24, 2014.

Where is Garden State Oral & Maxillofacial Surgery, LLC located?

Garden State Oral & Maxillofacial Surgery, LLC is located at 1 Broadway Suite 101, Elmwood Park, NJ 07407. The listed phone number is (201) 794-3344.

What is Garden State Oral & Maxillofacial Surgery, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Garden State Oral & Maxillofacial Surgery, LLC was last updated on January 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.