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DE OMILIA PLASTIC SURGERY PC
NPI 1164618435
Oral & Maxillofacial Surgery in Basking Ridge, NJ

Active since September 20, 2007
96 SOUTH FINLEY AVE, BASKING RIDGE, NJ 07920(908) 221-1136(908) 221-0482 Get Directions Write a Review

NPPES record last updated: April 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About De Omilia Plastic Surgery Pc NPPES

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

DE OMILIA PLASTIC SURGERY PC (NPI 1164618435) is a healthcare organization registered as an oral & maxillofacial surgery in Basking Ridge, New Jersey and active in the NPI registry since September 2007. The organization lists David Z Evdokimow, Owner, as its authorized official.

NPPES Registry Identity

NPI1164618435
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameDE OMILIA PLASTIC SURGERY PC
Location Address96 SOUTH FINLEY AVEBasking Ridge, NJ 07920
Mailing Address96 South Finley AveBasking Ridge, NJ 07920 · (908) 221-1136 · Fax (908) 221-0482
Phone(908) 221-1136
Fax(908) 221-0482
Organization SubpartNo
Authorized OfficialDavid Z EvdokimowOwner · (908) 221-1136
Enumeration DateSeptember 20, 2007
Last NPPES UpdateApril 3, 2008
✔ NPI 1164618435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in NJ · 25MA07315300
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 25MA07315300 (NJ)
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 25MA07315300 (NJ)
96 SOUTH FINLEY AVE, Basking Ridge, NJ 07920
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Other Identifiers 1

Medicare OSCAR/certification087461NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 De Omilia Plastic Surgery PC's NPI number?

The NPI number for De Omilia Plastic Surgery PC is 1164618435. It was assigned to this organization in the NPPES registry on September 20, 2007.

Where is De Omilia Plastic Surgery PC located?

De Omilia Plastic Surgery PC is located at 96 South Finley Ave, Basking Ridge, NJ 07920. The listed phone number is (908) 221-1136.

What is De Omilia Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for De Omilia Plastic Surgery PC was last updated on April 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.