Individual provider Active NPI

R. Gil Altman, M.D.

  • Plastic Surgery Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1023119542
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MA07298500 Issued in NJ
Practice address
520 Sylvan Ave Ste 202
Englewood Cliffs, NJ 07632-3022
Phone
(201) 569-3334
Fax
(201) 569-3321
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MA07298500 NJ Primary

Addresses

Primary practice location

520 Sylvan Ave Ste 202
Englewood Cliffs, NJ 07632-3022

Mailing address

520 Sylvan Ave Ste 202
Englewood Cliffs, NJ 07632-3022
Phone (201) 569-3334

Other identifiers 1

IdentifierTypeStateIssuer
CDSOtherNJD08082200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000029 NJ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 0042239337 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA07298500NJMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spa-Aac CurrentSince Dec 1, 2020 Accepting new patients
Altman Center for Aesthetic Plastic and Reconstructive Surgery Plastic Surgery CurrentSince Aug 15, 2016 Accepting new patients

Locations

570 Sylvan Ave
Fl 2
Englewood Cliffs, NJ 07632
Phone (201) 569-3334

Interoperability endpoints

  • Direct secure messaging: raltman189370@ahs.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1023119542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SYLVAN AVE STE 202",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323022",
            "telephone_number": "201-569-3334",
            "fax_number": "201-569-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SYLVAN AVE STE 202",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323022",
            "telephone_number": "201-569-3334",
            "fax_number": "201-569-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "R.",
        "middle_name": "GIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "MA07298500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D08082200",
            "identifier": "CDS",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

Verify at the official NPI Registry.