Surgery Center of Penthouse IV
NPI 1710060496 · Oral and Maxillofacial Surgery (Dentist) · West Orange, NJ
Surgery Center of Penthouse IV is a Oral and Maxillofacial Surgery (Dentist) organization in West Orange, NJ (NPI 1710060496).
Provider details
- NPI number
- 1710060496
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Theodore Niebloom, Doctor Administrative Director(973) 736-7616
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-10-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Surgery Center of Penthouse IV's NPI number?
- Surgery Center of Penthouse IV's National Provider Identifier (NPI) is 1710060496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgery Center of Penthouse IV?
- Surgery Center of Penthouse IV is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Surgery Center of Penthouse IV located?
- Surgery Center of Penthouse IV's practice location on file with NPPES is 101 Old Short Hills Road, West Orange, NJ 07052.
- What is Surgery Center of Penthouse IV's phone number?
- The practice phone number listed in the NPPES registry for Surgery Center of Penthouse IV is (973) 736-1345.
- Who is the authorized official for Surgery Center of Penthouse IV?
- The authorized official listed on Surgery Center of Penthouse IV's NPPES record is Theodore Niebloom, Doctor Administrative Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgery Center of Penthouse IV's NPI active?
- Yes — Surgery Center of Penthouse IV's NPI (1710060496) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.