Randolph Oral Pathology Associates, LLC
NPI 1053745117 · Oral and Maxillofacial Pathology Dentistry · Randolph, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randolph Oral Pathology Associates, LLC is a Oral and Maxillofacial Pathology Dentistry organization in Randolph, NJ (NPI 1053745117).
Provider details
- NPI number
- 1053745117
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jessica Wollenberg, Sole Mbr(973) 945-9309
- License
- 22DI02546000 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-08-26
- Last updated
- 2014-01-07
Frequently asked questions
- What is Randolph Oral Pathology Associates, LLC's NPI number?
- Randolph Oral Pathology Associates, LLC's National Provider Identifier (NPI) is 1053745117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Randolph Oral Pathology Associates, LLC?
- Randolph Oral Pathology Associates, LLC is classified in the NPPES registry as Oral and Maxillofacial Pathology Dentistry (Dental Providers).
- Where is Randolph Oral Pathology Associates, LLC located?
- Randolph Oral Pathology Associates, LLC's practice location on file with NPPES is 447 Route 10, Randolph, NJ 07869-2132.
- What is Randolph Oral Pathology Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Randolph Oral Pathology Associates, LLC is (973) 328-0464.
- Does Randolph Oral Pathology Associates, LLC accept Medicare?
- Randolph Oral Pathology Associates, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Randolph Oral Pathology Associates, LLC?
- The authorized official listed on Randolph Oral Pathology Associates, LLC's NPPES record is Jessica Wollenberg, Sole Mbr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Randolph Oral Pathology Associates, LLC's NPI active?
- Yes — Randolph Oral Pathology Associates, LLC's NPI (1053745117) is active in the NPPES registry as of the last update on 2014-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.