SOUTH JERSEY ORAL & MAXILLOFACIAL SURGEONS, LLC
NPI 1447272562
Dentist - Oral and Maxillofacial Surgery in Medford, NJ
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
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Jersey Oral & Maxillofacial Surgeons, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to South Jersey Oral & Maxillofacial Surgeons, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Medford, NJ 08055
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 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.
Is South Jersey Oral & Maxillofacial Surgeons, LLC enrolled in Medicare?
Yes. South Jersey Oral & Maxillofacial Surgeons, LLC is registered in the Medicare PECOS enrollment system.
When is South Jersey Oral & Maxillofacial Surgeons, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through South Jersey Oral & Maxillofacial Surgeons, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Maxillofacial Surgery, reassign their Medicare billing to South Jersey Oral & Maxillofacial Surgeons, 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Jersey Oral & Maxillofacial Surgeons, LLC accept?
Health plans from Ambetter Health 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.
# South Jersey Oral & Maxillofacial Surgeons, Llc · NPI 1447272562
Oral and Maxillofacial Surgery organization in Medford, New Jersey. Organization record, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1447272562 (Entity type: Organization)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Amerigo Fedeli, DOCTOR
## Practice location
- **Address:** 135 JACKSON RD, SUITE A, Medford, NJ 08055-9231
- **Phone:** (609) 654-1300 · **Fax:** (609) 654-0040
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Maxillofacial Surgery) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2008
- **Other identifiers:** Medicaid 7945108 (NJ); Medicare ID-Type Unspecified 026120 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1447272562) · Data from the CMS NPPES public registry.