Provider Demographics
NPI:1861461675
Name:HOWARD J. SOSNA DDS OMS, INC
Entity Type:Organization
Organization Name:HOWARD J. SOSNA DDS OMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL AND MAXILLOFACIAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOSNA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-827-7767
Mailing Address - Street 1:183 HIGH ST
Mailing Address - Street 2:1300
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-9601
Mailing Address - Country:US
Mailing Address - Phone:973-827-7767
Mailing Address - Fax:973-827-6061
Practice Address - Street 1:183 HIGH ST
Practice Address - Street 2:1300
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-9601
Practice Address - Country:US
Practice Address - Phone:973-300-5700
Practice Address - Fax:973-300-5744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ125011223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1011308Medicaid
NJ541430Medicare ID - Type Unspecified
NJ1011308Medicaid