OrganizationActive
New York University
NPI 1366803215 · Oral and Maxillofacial Surgery Clinic/Center · New York, NY
Provider details
- NPI number
- 1366803215
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Wiedemann, Clinical Assistant Professor(212) 998-9667
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
345 E 24th St
New York, NY 10010-4020
Phone: (212) 998-9667
Fax: (212) 995-4920
Street-level locationGet directions
Mailing address
345 E 24th St
New York, NY 10010-4020
Registry dates
- Enumerated
- 2016-03-18
- Last updated
- 2016-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.