INTEGRA ORAL SURGERY GROUP P.C.
NPI 1528839370
Dentist - Oral and Maxillofacial Surgery in Kearny, NJ

Q: What is Integra Oral Surgery Group P.C.'s NPI number?

The NPI number for Integra Oral Surgery Group P.C. is 1528839370. It was assigned to this organization in the NPPES registry on January 10, 2024.

Q: What is Integra Oral Surgery Group P.C.'s specialty?

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

Active since January 10, 2024

221 KEARNY AVE, KEARNY, NJ 07032(201) 299-6393(201) 299-6394 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Integra Oral Surgery Group P.c. NPPES

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

INTEGRA ORAL SURGERY GROUP P.C. (NPI 1528839370) is a healthcare organization registered as an oral and maxillofacial surgery in Kearny, New Jersey and active in the NPI registry since January 2024. The organization lists Ariel Otero-rodriguez, Oral And Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1528839370

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameINTEGRA ORAL SURGERY GROUP P.C.

Location Address221 KEARNY AVEKearny, NJ 07032-2437

Mailing Address221 Kearny AveKearny, NJ 07032-2437 · (201) 299-6393 · Fax (201) 299-6394

Phone(201) 299-6393

Fax(201) 299-6394

Organization SubpartNo

Authorized OfficialAriel Otero-rodriguezOral And Maxillofacial Surgeon · (201) 299-6393

Enumeration DateJanuary 10, 2024

NPPES CertifiedJanuary 10, 2024

✔ NPI 1528839370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

221 KEARNY AVE, Kearny, NJ 07032

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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

Other Providers at the Same Location NPPES 6

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

DR. KATHLEEN CALIXTO DC

Specialist/Technologist, Other (Electroneurodiagnostic)