RIVERSIDE ORAL SURGERY- ENGLEWOOD LLC
NPI 1962912832
Dentist - Oral and Maxillofacial Surgery in Englewood, NJ

Active since October 05, 2017
300 GRAND AVE STE 102, ENGLEWOOD, NJ 07631(201) 487-6565(201) 487-4229 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riverside Oral Surgery- Englewood Llc NPPES

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

RIVERSIDE ORAL SURGERY- ENGLEWOOD LLC (NPI 1962912832) is a healthcare organization registered as an oral and maxillofacial surgery in Englewood, New Jersey and active in the NPI registry since October 2017. The organization lists Jason Michael Auerbach, Owner, as its authorized official.

NPPES Registry Identity

NPI1962912832
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameRIVERSIDE ORAL SURGERY- ENGLEWOOD LLC
Location Address300 GRAND AVE STE 102Englewood, NJ 07631-6300
Mailing Address130 Kinderkamack Rd Ste 204River Edge, NJ 07661-1931 · (201) 487-6565 · Fax (201) 487-4229
Fax(201) 487-4229
Organization SubpartNo
Authorized OfficialJason Michael AuerbachOwner · (201) 487-6565
Enumeration DateOctober 5, 2017
Last NPPES UpdateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
NPI 1962912832 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.
300 GRAND AVE STE 102, Englewood, NJ 07631

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

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

Dentist (Oral and Maxillofacial Surgery)
300 GRAND AVE STE 102
ENGLEWOOD, NJ 07631

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 Riverside Oral Surgery- Englewood LLC's NPI number?

The NPI number for Riverside Oral Surgery- Englewood LLC is 1962912832. It was assigned to this organization in the NPPES registry on October 5, 2017.

Where is Riverside Oral Surgery- Englewood LLC located?

Riverside Oral Surgery- Englewood LLC is located at 300 Grand Ave Ste 102, Englewood, NJ 07631. The listed phone number is (201) 487-6565.

What is Riverside Oral Surgery- Englewood LLC'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 Riverside Oral Surgery- Englewood LLC was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.