New Jersey Plastic Surgery

LBN: New Jersey Plastic Surgery
New Jersey Plastic Surgery is an health care organization with primary practice located at 29 Park St , Montclair NJ 07042-3407. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. New Jersey Plastic Surgery can be contacted via phone (973) 509-2000, or through Wilson, Shirlee via phone (973) 509-2000.

Contact Information

Primary practice address
29 Park St Montclair NJ 07042-3407
Phone: (973) 509-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Shirlee
Phone: (973) 509-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1073284675
LBN Legal business name New Jersey Plastic Surgery
DBA Doing business as
Authorized official Wilson, Shirlee
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2021
Last updated Sep 28th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073284675 NPPES
Texas MEDICAID 1427342971
Texas MEDICAID 1942563564
Texas MEDICAID 1164599262

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