Frederick B Lavan, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA06432800 Issued in NJ

Practice address

1007 Mantua Pike, Suite B
Woodbury, NJ 08096-3963

Phone

(856) 256-7705

Fax

(856) 256-7709

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Plastic and Reconstructive Surgery

Education

Perelman School of Med at the University of Pennsylvania, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plastic and Cosmetic Surgical Group of New Jersey, P.C.Group PAC ID 8325026735, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Plastic & Cosmetic Surgical Group of New Jersey, P.C.

  • Plastic Surgery Physician
  • Woodbury, NJ
  • NPI 1811992860

  NJ, PA, Plastic Surgery

  Medicare reassignment Care Compare group NPD
• Plastic Surgery Specialists PC

  • Plastic and Reconstructive Surgery Physician
  • Phoenixville, PA
  • NPI 1164521241
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Thomas Jefferson University Hospitals Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1215916002

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1003811233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MANTUA PIKE, SUITE B",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963963",
            "telephone_number": "856-256-7705",
            "fax_number": "856-256-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 MANTUA PIKE, SUITE B",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963963",
            "telephone_number": "856-256-7705",
            "fax_number": "856-256-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVAN",
        "first_name": "FREDERICK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD041474E",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA06432800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7403305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Larkin, MD
• Peter Larocco
• Kristin Latimer, LAC
• Victoria Latini, LAC
• Therese Colette Latorre, LCSW
• Alan Lawit, M.D.
• Matthew D. Lawrence-Evans, LCSW
• Martin L Levinson, MD
• Tina Merrick Levitt, DDS
• Jack Bernard Lewis Jr., M.S.W., L.C.S.W.

• All providers in Woodbury, NJ
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.