Upper West Side Oral & Maxillofacial Surgery
NPI 1053921643 · Oral and Maxillofacial Surgery (Dentist) · New York, NY
Upper West Side Oral & Maxillofacial Surgery is a Oral and Maxillofacial Surgery (Dentist) organization in New York, NY (NPI 1053921643).
Provider details
- NPI number
- 1053921643
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Nam Park, DDS, MD(646) 734-6742
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2020-08-07
- Last updated
- 2020-08-07
- Certified
- 2020-08-07
Frequently asked questions
- What is Upper West Side Oral & Maxillofacial Surgery's NPI number?
- Upper West Side Oral & Maxillofacial Surgery's National Provider Identifier (NPI) is 1053921643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Upper West Side Oral & Maxillofacial Surgery?
- Upper West Side Oral & Maxillofacial Surgery is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Upper West Side Oral & Maxillofacial Surgery located?
- Upper West Side Oral & Maxillofacial Surgery's practice location on file with NPPES is 140 W 69th St Ph 1g, New York, NY 10023-5173.
- What is Upper West Side Oral & Maxillofacial Surgery's phone number?
- The practice phone number listed in the NPPES registry for Upper West Side Oral & Maxillofacial Surgery is (646) 734-6742.
- Who is the authorized official for Upper West Side Oral & Maxillofacial Surgery?
- The authorized official listed on Upper West Side Oral & Maxillofacial Surgery's NPPES record is Nam Park, DDS, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Upper West Side Oral & Maxillofacial Surgery's NPI active?
- Yes — Upper West Side Oral & Maxillofacial Surgery's NPI (1053921643) is active in the NPPES registry as of the last update on 2020-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.