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Surgery Center of Penthouse IV

Q: What type of organization is Surgery Center of Penthouse IV?

Surgery Center of Penthouse IV is registered in NPPES as a Oral and Maxillofacial Surgery (Dentist) (its primary provider taxonomy).

Oral and Maxillofacial Surgery (Dentist) in West Orange, NJ · enumerated 2006 · authorized official Theodore Niebloom, Doctor Administrative Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710060496

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Registry record

Entity type Organization (Type 2)

Legal business name Surgery Center of Penthouse IV

Practice address 101 Old Short Hills Road, West Orange, NJ, 07052

Phone (973) 736-1345

Fax (973) 325-3487

Enumeration date Oct 24, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name Theodore Niebloom

Title Doctor Administrative Director

Phone (973) 736-7616

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Surgery Center of Penthouse IV?

Surgery Center of Penthouse IV is registered in NPPES as a Oral and Maxillofacial Surgery (Dentist) (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.