Professional Oral Surgery Alliance of New Jersey, LLC
NPI 1366051195ActiveOrganization· Dentist· Fort Lee, NJ
Dentist in Fort Lee, New Jersey, registered in NPPES in July 2020. The authorized official on file is Lauren Howard, MA, Credentialing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366051195 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2020 |
| Last updated in NPPES | Jul 28, 2020 |
| Certified by provider | Jul 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other Dentist providers in Fort Lee
- 1205418571
- 1528425949
- 1144865221
- 1083827257
- 1932320371
- 1619045333
- 1386321479
- 1750938403
- 1407216674
- 1649305400
- 1952513137
- 1407955792