MSC ORAL SURGERY PC
NPI 1679003255
Dentist - Oral and Maxillofacial Surgery in New York, NY

Q: What is Msc Oral Surgery PC's NPI number?

The NPI number for Msc Oral Surgery PC is 1679003255. It was assigned to this organization in the NPPES registry on June 15, 2017.

Q: What is Msc Oral Surgery PC's specialty?

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

Active since June 15, 2017

1468 MADISON AVENUE, ANNENBERG BUILDING 2ND FLOOR, NEW YORK, NY 10029(920) 312-1833 Get Directions Write a Review

NPPES record last updated: June 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Msc Oral Surgery Pc NPPES

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

MSC ORAL SURGERY PC (NPI 1679003255) is a healthcare organization registered as an oral and maxillofacial surgery in New York, New York and active in the NPI registry since June 2017. The organization lists Matthew Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1679003255

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameMSC ORAL SURGERY PC

Location Address1468 MADISON AVENUE, ANNENBERG BUILDING 2ND FLOORNew York, NY 10029

Mailing Address19 Pine LnCortlandt Manor, NY 10567-5903 · (920) 312-1833

Phone(920) 312-1833

Organization SubpartNo

Authorized OfficialMatthew ClarkOwner · (920) 312-1833

Enumeration DateJune 15, 2017

✔ NPI 1679003255 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.

1468 MADISON AVENUE, New York, NY 10029

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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 20

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

MR. JASON JACKSON P.T.

Physical Therapist

1468 MADISON AVENUE
NEW YORK, NY 10029

New York County (212) 241-8045

MS. JILL POSA OTR/L

Occupational Therapist

1468 MADISON AVENUE
NEW YORK, NY 10029

New York County (212) 241-4477

DAISY ELIZABETH BURNS LMSW

Social Worker

1468 MADISON AVENUE, ANNENBERG BUILDING, 4TH FLOOR
NEW YORK, NY 10029

New York County (212) 241-0260

DR. JORGE LUIS SAMANAMUD MD

Student in an Organized Health Care Education/Training Program

1468 MADISON AVENUE, DEPARTMENT OF PATHOLOGY 15TH FLOOR
NEW YORK, NY 10029

New York County (646) 323-6541

JAKE KIM NP

Nurse Practitioner (Family)

1468 MADISON AVENUE, BOX 1495
NEW YORK, NY 10029

New York County (212) 241-6500

HANY YOUSSEF PA

Physician Assistant (Surgical)

1468 MADISON AVENUE, DEPARTMENT OF GENERAL SURGERY
NEW YORK, NY 10029

New York County (212) 241-6696

DANIELLE FAERSHTEIN

Nurse Practitioner (Family)

1468 MADISON AVENUE, 3RD FLOOR
NEW YORK, NY 10029

New York County (212) 241-5561

DR. ROBERT MYERS MD, PHD

Student in an Organized Health Care Education/Training Program

1468 MADISON AVENUE, DEPARTMENT OF PATHOLOGY, ANNENBERG BUILDING, 15TH FLOOR
NEW YORK, NY 10029

New York County (908) 672-2961

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 Msc Oral Surgery PC's NPI number?

The NPI number for Msc Oral Surgery PC is 1679003255. It was assigned to this organization in the NPPES registry on June 15, 2017.

Where is Msc Oral Surgery PC located?

Msc Oral Surgery PC is located at 1468 Madison Avenue Annenberg Building 2nd Floor, New York, NY 10029. The listed phone number is (920) 312-1833.

What is Msc Oral Surgery PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Msc Oral Surgery PC was last updated on June 15, 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.