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ORAL RECONSTRUCTIVE JAW SURGERY PC
NPI 1356733224
Specialist in New York, NY

Active since March 02, 2015
563 PARK AVE, NEW YORK, NY 10065(212) 838-0090(212) 935-1296 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oral Reconstructive Jaw Surgery Pc NPPES

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

ORAL RECONSTRUCTIVE JAW SURGERY PC (NPI 1356733224) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since March 2015. The organization lists Gregory Charles Chotkowki, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1356733224
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameORAL RECONSTRUCTIVE JAW SURGERY PC
Location Address563 PARK AVENew York, NY 10065-7379
Mailing Address563 Park AveNew York, NY 10065-7379 · (212) 838-0090 · Fax (212) 935-1296
Phone(212) 838-0090
Fax(212) 935-1296
Organization SubpartNo
Authorized OfficialGregory Charles ChotkowkiMedical Director · (212) 838-0090
Enumeration DateMarch 2, 2015
✔ NPI 1356733224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 440777
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
563 PARK AVE, New York, NY 10065
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Other Identifiers 1

Other440777NY · The Joint Commission

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

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.

G CHOTKOWSKI DMD PC
Dentist (Oral and Maxillofacial Surgery)
563 PARK AVE
NEW YORK, NY 10065
New York County (212) 980-8732
PARK AVENUE IMAGING LLC
Clinic/Center (Radiology)
563 PARK AVE
NEW YORK, NY 10065
New York County (212) 838-0090
ORAL FACIAL SURGERY ON PARK PC
Specialist
563 PARK AVE
NEW YORK, NY 10065
New York County (212) 838-0090
PARK AVENUE DENTAL ANESTHESIA SERVICES PC
Dentist (Oral and Maxillofacial Surgery)
563 PARK AVE
NEW YORK, NY 10065
New York County (212) 808-0090
PARK AVENUE MAXILLARY & MANDIBULAR RESTORATIONS PC
Clinic/Center (Ambulatory Surgical)
563 PARK AVE
NEW YORK, NY 10065
New York County (212) 838-0383
MAXILLOFACIAL SURGERY OF NY PC
Clinic/Center (Ambulatory Surgical)
563 PARK AVE
NEW YORK, NY 10065
New York County (212) 838-0090
PARK AVENUE PERIODONTAL PROSTHESIS OBS FACILITY
Oral & Maxillofacial Surgery
563 PARK AVE
NEW YORK, NY 10065
New York County (212) 838-0090
MANHATTAN PERIODONTICS PC
Dentist (Oral and Maxillofacial Surgery)
563 PARK AVE
NEW YORK, NY 10065
New York County (212) 838-0090

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 Oral Reconstructive Jaw Surgery PC's NPI number?

The NPI number for Oral Reconstructive Jaw Surgery PC is 1356733224. It was assigned to this organization in the NPPES registry on March 2, 2015.

Where is Oral Reconstructive Jaw Surgery PC located?

Oral Reconstructive Jaw Surgery PC is located at 563 Park Ave, New York, NY 10065. The listed phone number is (212) 838-0090.

What is Oral Reconstructive Jaw Surgery PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Oral Reconstructive Jaw Surgery PC was last updated on March 2, 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.