SOUTH JERSEY ORAL & MAXILLOFACIAL SURGEONS, LLC
NPI 1447272562
Dentist - Oral and Maxillofacial Surgery in Medford, NJ

Active since July 25, 2006
135 JACKSON RD, SUITE A, MEDFORD, NJ 08055(609) 654-1300(609) 654-0040 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Jersey Oral & Maxillofacial Surgeons, Llc NPPES

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

SOUTH JERSEY ORAL & MAXILLOFACIAL SURGEONS, LLC (NPI 1447272562) is a healthcare organization registered as an oral and maxillofacial surgery in Medford, New Jersey and active in the NPI registry since July 2006. The organization lists Amerigo Fedeli, Doctor, as its authorized official.

NPPES Registry Identity

NPI1447272562
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSOUTH JERSEY ORAL & MAXILLOFACIAL SURGEONS, LLC
Location Address135 JACKSON RD, SUITE AMedford, NJ 08055-9231
Mailing Address135 Jackson Rd, Suite AMedford, NJ 08055-9231 · (609) 654-1300 · Fax (609) 654-0040
Fax(609) 654-0040
Organization SubpartNo
Authorized OfficialAmerigo FedeliDoctor · (609) 654-1300
Enumeration DateJuly 25, 2006
Last NPPES UpdateJune 30, 2008
NPI 1447272562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
Also ListedDentist · Oral and Maxillofacial RadiologyTaxonomy 1223X0008X
135 JACKSON RD, Medford, NJ 08055

Other Identifiers 2

Medicaid7945108NJ
Medicare ID-Type Unspecified026120NJ

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

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
135 JACKSON RD, LAUREL PROFESSIONAL CENTER - SUITE A
MEDFORD, NJ 08055
Behavior Analyst
135 JACKSON RD
MEDFORD, NJ 08055
Pediatrics
135 JACKSON RD, SUITE B
MEDFORD, NJ 08055
Dentist (Oral and Maxillofacial Surgery)
135 JACKSON RD, LAUREL PROFESSIONAL CENTER - SUITE A
MEDFORD, NJ 08055

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 South Jersey Oral & Maxillofacial Surgeons, LLC's NPI number?

The NPI number for South Jersey Oral & Maxillofacial Surgeons, LLC is 1447272562. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is South Jersey Oral & Maxillofacial Surgeons, LLC located?

South Jersey Oral & Maxillofacial Surgeons, LLC is located at 135 Jackson Rd Suite A, Medford, NJ 08055. The listed phone number is (609) 654-1300.

What is South Jersey Oral & Maxillofacial Surgeons, LLC's specialty?

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

What insurance does South Jersey Oral & Maxillofacial Surgeons, LLC accept?

Health plans from UnitedHealthcare list South Jersey Oral & Maxillofacial Surgeons, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Jersey Oral & Maxillofacial Surgeons, LLC was last updated on June 30, 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.