NPIMap

Organization Active NPI

East Coast Advanced Plastic Surgery LLC

  • Plastic Surgery Physician
  • Hoboken, NJ
National Provider Identifier
1023306172
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA08921100 Issued in NJ
Legal business name
EAST COAST ADVANCED PLASTIC SURGERY LLC
Practice address
79 Hudson St
Suite #700
Hoboken, NJ 07030-5638
Phone
(201) 449-1000
Fax
(201) 399-2433
NPI assigned
Jul 11, 2011
Last updated
Oct 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Dr. Cyrus F Loghmanee, M.D.NPI 1831365303
Title
President
Phone
(631) 878-4642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 25MA08921100 NJ Primary

Addresses

Primary practice location

79 Hudson St
Suite #700
Hoboken, NJ 07030-5638

Mailing address

79 Hudson Street
Suite #700
Hoboken, NJ 07030
Phone (201) 449-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110921000200 NJ Part B Supplier - Clinic/Group Practice 8628249786 Receives reassigned benefits from 11 practitioners
Practice locations: Livingston, NJ; Englewood, NJ

National Provider Directory

National Provider Directory

Locations

639 E Ocean Ave
Ste 308
Ocean Ridge, FL 33435

1373 Broad St
Ste 311
Clifton, NJ 07013
Phone (201) 201-3456

79 Hudson St
Ste 700
Hoboken, NJ 07030
Phone (201) 449-1000

200 S Orange Ave
Ste 295
Livingston, NJ 07039
Phone (201) 201-3456

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1023306172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 HUDSON STREET",
            "address_2": "SUITE #700",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "07030",
            "telephone_number": "201-449-1000",
            "fax_number": "201-399-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HUDSON ST",
            "address_2": "SUITE #700",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305638",
            "telephone_number": "201-449-1000",
            "fax_number": "201-399-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST ADVANCED PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "LOGHMANEE",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-878-4642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA08921100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.