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ROYAL ORAL & MAXILLOFACIAL SURGERY
NPI 1205229895
Dentist - Oral and Maxillofacial Surgery in Denville, NJ

Active since March 06, 2015
15 2ND AVE, DENVILLE, NJ 07834(973) 625-4048(973) 625-1984 Get Directions Write a Review

NPPES record last updated: March 6, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Royal Oral & Maxillofacial Surgery NPPES

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

ROYAL ORAL & MAXILLOFACIAL SURGERY (NPI 1205229895) is a healthcare organization registered as an oral and maxillofacial surgery in Denville, New Jersey and active in the NPI registry since March 2015. The organization lists Imad Tamimi, Manager, as its authorized official.

NPPES Registry Identity

NPI1205229895
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameROYAL ORAL & MAXILLOFACIAL SURGERY
Location Address15 2ND AVEDenville, NJ 07834-2711
Mailing Address15 2nd AveDenville, NJ 07834-2711 · (973) 625-4048 · Fax (973) 625-1984
Phone(973) 625-4048
Fax(973) 625-1984
Organization SubpartNo
Authorized OfficialImad TamimiManager · (973) 625-4048
Enumeration DateMarch 6, 2015
✔ NPI 1205229895 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 NJ · 22DI01875004
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.
15 2ND AVE, Denville, NJ 07834
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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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Royal Oral & Maxillofacial Surgery, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Mohamed Boukheir, DMD
Maxillofacial Surgery
NPI 1518351964
268 MAIN ST
Madison, NJ 07940
(973) 822-8003
✔ PECOS10 mi
Imad Tamimi, D.M.D
Oral Surgery
NPI 1659669091
1054 CLIFTON AVE
Clifton, NJ 07013
(973) 625-4048
✔ PECOS✔ Accepts Medicare16 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 Royal Oral & Maxillofacial Surgery's NPI number?

The NPI number for Royal Oral & Maxillofacial Surgery is 1205229895. It was assigned to this organization in the NPPES registry on March 6, 2015.

Where is Royal Oral & Maxillofacial Surgery located?

Royal Oral & Maxillofacial Surgery is located at 15 2nd Ave, Denville, NJ 07834. The listed phone number is (973) 625-4048.

What is Royal Oral & Maxillofacial Surgery's specialty?

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

Is Royal Oral & Maxillofacial Surgery enrolled in Medicare?

Yes. Royal Oral & Maxillofacial Surgery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Royal Oral & Maxillofacial Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Royal Oral & Maxillofacial Surgery, in Maxillofacial Surgery and 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 Royal Oral & Maxillofacial Surgery was last updated on March 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.