Provider Demographics
NPI:1356626139
Name:UNION CITY OMS GROUP, P.C.
Entity Type:Organization
Organization Name:UNION CITY OMS GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:HERBST
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-601-9262
Mailing Address - Street 1:311 33RD ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4701
Mailing Address - Country:US
Mailing Address - Phone:201-601-9262
Mailing Address - Fax:201-601-2543
Practice Address - Street 1:311 33RD ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4701
Practice Address - Country:US
Practice Address - Phone:201-601-9262
Practice Address - Fax:201-601-2543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI018881131223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty