OrganizationActive
Advanced Oral & Maxillofacial Surgery
NPI 1619315124 · Preferred Provider Organization · Paramus, NJ
Provider details
- NPI number
- 1619315124
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Robert Defalco, Owner(201) 262-2667
- License
- 22DI01861300 (NJ)
Specialties & taxonomies
Managed Care Organizations
Practice location
270 Spring Valley Rd
Paramus, NJ 07652-5343
Phone: (201) 262-2667
Fax: (201) 262-2608
Approximate (ZIP-level) locationGet directions
Mailing address
270 Spring Valley Rd
Paramus, NJ 07652-5343
Registry dates
- Enumerated
- 2013-06-06
- Last updated
- 2013-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.