PROFESSIONAL ORAL SURGERY ALLIANCE OF NEW JERSEY, LLC
NPI 1366051195
Dentist in Fort Lee, NJ

Q: What is Professional Oral Surgery Alliance Of New Jersey, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since July 28, 2020

1530 PALISADE AVE, FORT LEE, NJ 07024(201) 585-8282 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Professional Oral Surgery Alliance Of New Jersey, Llc NPPES

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

PROFESSIONAL ORAL SURGERY ALLIANCE OF NEW JERSEY, LLC (NPI 1366051195) is a healthcare organization registered as a dentist in Fort Lee, New Jersey and active in the NPI registry since July 2020. The organization lists Lauren Howard, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1366051195

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePROFESSIONAL ORAL SURGERY ALLIANCE OF NEW JERSEY, LLC

Location Address1530 PALISADE AVEFort Lee, NJ 07024-5471

Mailing Address11 S Mill StNew Castle, PA 16101-3680

Phone(201) 585-8282

Organization SubpartNo

Authorized OfficialLauren HowardCredentialing Specialist · (757) 576-5479

Enumeration DateJuly 28, 2020

NPPES CertifiedJuly 28, 2020

✔ NPI 1366051195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1530 PALISADE AVE, Fort Lee, NJ 07024

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Professional Oral Surgery Alliance Of New Jersey, Llc 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 Professional Oral Surgery Alliance Of New Jersey, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vincent Carrao, DDS, MD

Maxillofacial Surgery

NPI 1417945767

1530 PALISADE AVE
Fort Lee, NJ 07024

(201) 585-8282

✔ PECOS✔ Accepts Medicare0.1 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 Professional Oral Surgery Alliance Of New Jersey, LLC's NPI number?

The NPI number for Professional Oral Surgery Alliance Of New Jersey, LLC is 1366051195. It was assigned to this organization in the NPPES registry on July 28, 2020.

Where is Professional Oral Surgery Alliance Of New Jersey, LLC located?

Professional Oral Surgery Alliance Of New Jersey, LLC is located at 1530 Palisade Ave, Fort Lee, NJ 07024. The listed phone number is (201) 585-8282.

What is Professional Oral Surgery Alliance Of New Jersey, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Professional Oral Surgery Alliance Of New Jersey, LLC enrolled in Medicare?

Yes. Professional Oral Surgery Alliance Of New Jersey, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Professional Oral Surgery Alliance Of New Jersey, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Professional Oral Surgery Alliance Of New Jersey, LLC. 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 Professional Oral Surgery Alliance Of New Jersey, LLC was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.