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SURGERY CENTER OF PENTHOUSE IV
NPI 1710060496
Dentist - Oral and Maxillofacial Surgery in West Orange, NJ

Active since October 24, 2006
101 OLD SHORT HILLS ROAD, WEST ORANGE, NJ 07052(973) 736-1345(973) 325-3487 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Surgery Center Of Penthouse Iv NPPES

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

SURGERY CENTER OF PENTHOUSE IV (NPI 1710060496) is a healthcare organization registered as an oral and maxillofacial surgery in West Orange, New Jersey and active in the NPI registry since October 2006. The organization lists Theodore A Niebloom, Doctor Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1710060496
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSURGERY CENTER OF PENTHOUSE IV
Location Address101 OLD SHORT HILLS ROADWest Orange, NJ 07052
Mailing Address101 Old Short Hills RoadWest Orange, NJ 07052 · (973) 736-1345 · Fax (973) 325-3487
Phone(973) 736-1345
Fax(973) 325-3487
Organization SubpartNo
Authorized OfficialTheodore A NiebloomDoctor Administrative Director · (973) 736-7616
Enumeration DateOctober 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710060496 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.

101 OLD SHORT HILLS ROAD, West Orange, NJ 07052
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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 18

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

JENNIFER JAMES NORTON PT
Physical Therapist
101 OLD SHORT HILLS ROAD, SUITE 210
WEST ORANGE, NJ 07052
Essex County (973) 322-6363
DR. ALEX G POPKO D.O.
Obstetrics & Gynecology
101 OLD SHORT HILLS ROAD, SUITE 101
WEST ORANGE, NJ 07052
Essex County (973) 736-1100
PROFESSIONAL ASSOCIATES IN SURGERY, LLP
Surgery
101 OLD SHORT HILLS ROAD, SUITE 206
WEST ORANGE, NJ 07052
Essex County (973) 731-5005
DR. CYRUS J AMATO D.D.S.
Dentist (Oral and Maxillofacial Surgery)
101 OLD SHORT HILLS ROAD, PENTHOUSE II
WEST ORANGE, NJ 07052
Essex County (973) 736-7616
MARISA BUONANNO HAMRAH NP
Nurse Practitioner (Women's Health)
101 OLD SHORT HILLS ROAD, SUITE 400
WEST ORANGE, NJ 07052
Essex County (973) 243-9300
SUNIL SAPRU MD
Internal Medicine
101 OLD SHORT HILLS ROAD, SUITE 106
WEST ORANGE, NJ 07052
Essex County (973) 322-6256
YVETTE A BRIDGES M D P A
Obstetrics & Gynecology
101 OLD SHORT HILLS ROAD, SUITE 505
WEST ORANGE, NJ 07052
Essex County (973) 731-9047
METROPOLITAN CRANIOFACIAL CENTER
Dentist (Oral and Maxillofacial Surgery)
101 OLD SHORT HILLS ROAD, PENTHOUSE II
WEST ORANGE, NJ 07052
Essex County (973) 736-7616

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 Surgery Center Of Penthouse IV's NPI number?

The NPI number for Surgery Center Of Penthouse IV is 1710060496. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Surgery Center Of Penthouse IV located?

Surgery Center Of Penthouse IV is located at 101 Old Short Hills Road, West Orange, NJ 07052. The listed phone number is (973) 736-1345.

What is Surgery Center Of Penthouse IV'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 Surgery Center Of Penthouse IV was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.