# HACKENSACK ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114151057
- **Authorized official:** SUSAN NAGURKA (OFFICE MANAGER)
- **Authorized official phone:** (201) 867-0404

## Contact information

- **Practice address:** 16 JOHNSON AVE, HACKENSACK, NJ 07601-4818
- **Practice address phone:** (201) 867-0404
- **Mailing address:** 16 JOHNSON AVE, HACKENSACK, NJ 07601-4818
- **Mailing address phone:** (201) 867-0404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2009
- **Last updated:** 06/10/2009