Organization Active NPI

Janineh Plastic Surgery PC

  • Plastic Surgery Physician
  • Troy, MI
National Provider Identifier
1053771857
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
JANINEH PLASTIC SURGERY PC
Practice address
5600 Rochester Rd
Troy, MI 48085-3374
Phone
(248) 212-0116
NPI assigned
Mar 7, 2016
Last updated
Mar 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Inad JaninehNPI 1265685143
Title
Owner
Phone
(810) 627-9606

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 Physician 208200000X Primary

Addresses

Primary practice location

5600 Rochester Rd
Troy, MI 48085-3374

Mailing address

5600 Rochester Rd
Troy, MI 48085-3374
Phone (248) 212-0116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160621001924 MI Part B Supplier - Clinic/Group Practice 8729379847 Receives reassigned benefits from 1 practitioner
Practice locations: Riverview, MI; Shelby Township, MI

National Provider Directory

National Provider Directory
Tax ID family
Janineh Plastic Surgery PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1135 W University Dr
Ste 240
Rochester, MI 48307
Phone (248) 212-0116

2490 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 212-0116

5335 Auburn Rd
Shelby Township, MI 48317
Phone (248) 212-0116

5600 Rochester Rd
Troy, MI 48085
Phone (248) 212-0116

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1053771857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853374",
            "telephone_number": "248-212-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853374",
            "telephone_number": "248-212-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANINEH PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "JANINEH",
        "authorized_official_first_name": "INAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-627-9606"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.