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WARREN ORAL SURGERY
NPI 1447548607
Dentist - Oral and Maxillofacial Surgery in Warren, NJ

Active since July 21, 2011
58 MOUNT BETHEL RD, SUITE 202, WARREN, NJ 07059(908) 222-7922(908) 222-7923 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Warren Oral Surgery NPPES

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

WARREN ORAL SURGERY (NPI 1447548607) is a healthcare organization registered as an oral and maxillofacial surgery in Warren, New Jersey and active in the NPI registry since July 2011. The organization lists Daniel Sullivan, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1447548607
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWARREN ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, LLC
Location Address58 MOUNT BETHEL RD, SUITE 202Warren, NJ 07059-2654
Mailing Address58 Mount Bethel Rd, Suite 202Warren, NJ 07059-2654 · (908) 222-7922 · Fax (908) 222-7923
Phone(908) 222-7922
Fax(908) 222-7923
Organization SubpartNo
Authorized OfficialDaniel SullivanOffice Manager · (908) 222-7922
Enumeration DateJuly 21, 2011
Last NPPES UpdateFebruary 13, 2017
✔ NPI 1447548607 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 · 02036700
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.
58 MOUNT BETHEL RD, Warren, NJ 07059
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Other Names 1

Doing Business AsWarren Oral Surgery

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Warren Oral Surgery, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Daniel Sullivan, DDS
Oral Surgery
NPI 1649376468
58 MOUNT BETHEL RD STE 202
Warren, NJ 07059
(908) 222-7922
✔ PECOS✔ Accepts MedicareSame address
Sejin Bae
Oral Surgery
NPI 1528697109
100 NORTH ACADEMY AVENUE
Danville, PA 17822
(570) 271-6211
✔ PECOS113 mi
Taneenop Aramphongphan, D.M.D.
Oral Surgery
NPI 1750766358
109 N REGENCY DR
Bloomington, IL 61701
(309) 663-2526
✔ PECOS✔ Accepts Medicare760 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 Warren Oral & Maxillofacial Surgery Associates, LLC's NPI number?

The NPI number for Warren Oral & Maxillofacial Surgery Associates, LLC is 1447548607. It was assigned to this organization in the NPPES registry on July 21, 2011. The provider is doing business as Warren Oral Surgery.

Where is Warren Oral & Maxillofacial Surgery Associates, LLC located?

Warren Oral & Maxillofacial Surgery Associates, LLC is located at 58 Mount Bethel Rd Suite 202, Warren, NJ 07059. The listed phone number is (908) 222-7922.

What is Warren Oral & Maxillofacial Surgery Associates, LLC's specialty?

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

Is Warren Oral & Maxillofacial Surgery Associates, LLC enrolled in Medicare?

Yes. Warren Oral & Maxillofacial Surgery Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Warren Oral & Maxillofacial Surgery Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Oral Surgery, reassign their Medicare billing to Warren Oral & Maxillofacial Surgery Associates, 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 Warren Oral & Maxillofacial Surgery Associates, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Warren Oral & Maxillofacial Surgery Associates, 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 Warren Oral & Maxillofacial Surgery Associates, LLC was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.