Organization Active NPI

Premier Plastic Surgery Center of New Jersey LLC

  • Specialist
  • Morristown, NJ
National Provider Identifier
1053441691
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07878300 Issued in NJ
Legal business name
PREMIER PLASTIC SURGERY CENTER OF NEW JERSEY LLC
Practice address
310 Madison Ave Ste 100
Morristown, NJ 07960-6967
Phone
(973) 889-9300
Fax
(973) 889-9400
NPI assigned
Mar 6, 2007
Last updated
Mar 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Dr. Brian S Glatt, M.D.NPI 1184691875
Title
Director
Phone
(973) 889-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07878300 NJ Primary

Addresses

Primary practice location

310 Madison Ave Ste 100
Morristown, NJ 07960-6967

Mailing address

310 Madison Ave Ste 100
Morristown, NJ 07960-6967
Phone (973) 889-9300

National Provider Directory

National Provider Directory

Locations

182 South St
Ste 9
Morristown, NJ 07960
Phone (973) 889-9300

310 Madison Ave
Ste 100
Morristown, NJ 07960
Phone (973) 889-9300

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1053441691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MADISON AVE STE 100",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606967",
            "telephone_number": "973-889-9300",
            "fax_number": "973-889-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MADISON AVE STE 100",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606967",
            "telephone_number": "973-889-9300",
            "fax_number": "973-889-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PLASTIC SURGERY CENTER OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "GLATT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-889-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07878300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.