Nicole Schrader, MD Facial Plastic and Reconstructive Surgery, LLC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

25MA07870100 Issued in NJ

Legal business name

NICOLE SCHRADER, MD FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY, LLC

Practice address

214 N Harrison St
Princeton, NJ 08540-3507

Phone

(609) 279-0009

Fax

(609) 924-1864

NPI assigned

Jan 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Schrader-Barile, M.D.

Title

Owner

Phone

(609) 279-0009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1023312188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N HARRISON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403507",
            "telephone_number": "609-279-0009",
            "fax_number": "609-924-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N HARRISON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403507",
            "telephone_number": "609-279-0009",
            "fax_number": "609-924-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE SCHRADER, MD FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "SCHRADER-BARILE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-279-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NJ",
            "license": "25MA07870100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Widian Nicola-Jacobo, DSW, LCSW
• Nicole Cirigliano
• Stefanie Nicosia, APN
• Jonathan Louis Nicozisis, DMD, MS
• Olga Nieves, FNP-BC
• Janice Nini, RN
• Susan Ray Nipps

• Otolaryngology/Facial Plastic Surgery Physician in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Otolaryngology/Facial Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.