PARAMOUNT ORAL SURGERY
NPI 1104338946
Dentist - Oral and Maxillofacial Surgery in Staten Island, NY

Active since November 02, 2017
201 EDWARD CURRY AVE STE 101, STATEN ISLAND, NY 10314(718) 494-2053 Get Directions Write a Review

NPPES record last updated: November 2, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paramount Oral Surgery NPPES

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

PARAMOUNT ORAL SURGERY (NPI 1104338946) is a healthcare organization registered as an oral and maxillofacial surgery in Staten Island, New York and active in the NPI registry since November 2017. The organization lists Stuard A Katz, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1104338946
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameLIBERTY ORAL SURGERY
Location Address201 EDWARD CURRY AVE STE 101Staten Island, NY 10314-7102
Mailing Address201 Edward Curry Ave Ste 101Staten Island, NY 10314-7102 · (718) 494-2053
Organization SubpartNo
Authorized OfficialStuard A KatzCo-owner · (718) 494-2053
Enumeration DateNovember 2, 2017
✔ NPI 1104338946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 040797-1
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.
201 EDWARD CURRY AVE STE 101, Staten Island, NY 10314

Other Names 1

Doing Business AsParamount Oral Surgery

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paramount Oral Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Paramount Oral Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1750377933
1 BROADWAY SUITE 101
Elmwood Park, NJ 07407
(201) 794-3344
✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Liberty Oral Surgery's NPI number?

The NPI number for Liberty Oral Surgery is 1104338946. It was assigned to this organization in the NPPES registry on November 2, 2017. The provider is doing business as Paramount Oral Surgery.

Where is Liberty Oral Surgery located?

Liberty Oral Surgery is located at 201 Edward Curry Ave Ste 101, Staten Island, NY 10314. The listed phone number is (718) 494-2053.

What is Liberty Oral Surgery's specialty?

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

Is Liberty Oral Surgery enrolled in Medicare?

Yes. Liberty Oral Surgery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liberty Oral Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Liberty Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Liberty Oral Surgery was last updated on November 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.