Summit Plastic Surgery, PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

25MA05373600 Issued in NJ

Legal business name

SUMMIT PLASTIC SURGERY, PC

Practice address

33 Overlook Rd
Suite 310
Summit, NJ 07901-3563

Phone

(908) 918-1969

Fax

(908) 918-1995

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

James N Gardner, MDNPI 1386676088

Title

Owner

Phone

(908) 918-1969

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• James Gardner, MD

  • Plastic and Reconstructive Surgery Physician
  • Summit, NJ
  • NPI 1386676088
  Authorized official Same address or phone
• Diana M Addis, MD

  • Surgical Oncology Physician
  • Sparta, NJ
  • NPI 1235241597
  NPD (past)
• Rose Michelle Mojares, PA-C

  • Physician Assistant
  • Summit, NJ
  • NPI 1386817518
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1033200704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD",
            "address_2": "SUITE 310",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013563",
            "telephone_number": "908-918-1969",
            "fax_number": "908-918-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD",
            "address_2": "SUITE 310",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013563",
            "telephone_number": "908-918-1969",
            "fax_number": "908-918-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-918-1969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA05373600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Opco, LLC (Sunrise Of Summit)
• Summit Oral and Maxillofacial Surgery,PA
• Summit Pediatric Associates, P.a.
• Summit Periodontics and Dental Implants
• Summit Physical Therapy
• Summit Psychological Services PA
• Summit Psychotherapy Association
• Summit Sport and Spine LLC (Summit Sport & Spine)
• Summit Urologic Associates
• Sunrise of Summit, LLC (Sunrise of Summit)

• Plastic and Reconstructive Surgery Physician in Summit, NJ
• Providers in Summit, NJ by specialty
• Plastic and Reconstructive Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.