Individual provider Active NPI

Lauren Otaguro

  • Plastic Surgery Physician
  • Maywood, NJ
National Provider Identifier
1053871673
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA12354300 Issued in NJ
Practice address
113 W Essex St Ste 204
Maywood, NJ 07607-1023
Phone
(201) 289-5551
NPI assigned
Mar 20, 2019
Last updated
Aug 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA12354300 NJ Primary

Addresses

Primary practice location

113 W Essex St Ste 204
Maywood, NJ 07607-1023

Mailing address

113 W Essex St Ste 204
Maywood, NJ 07607-1023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250728001226 NJ Practitioner - Plastic and Reconstructive Surgery 0042727869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Plastic Surgery CenterGroup PAC ID 8921060484, 88 clinicians

Practice addresses (Care Compare)

535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Phone (732) 333-8720

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Plastic Surgery Center Plastic Surgery CurrentSince Aug 1, 2025 Accepting new patients
The Woods O.R., Inc. PastSince May 18, 2025 Accepting new patients

Locations

113 W Essex St
Ste 204
Maywood, NJ 07607
Phone (201) 289-5551

200 Schulz Dr
Ste 2
Red Bank, NJ 07701

331 Newman Springs Rd
Ste 200
Red Bank, NJ 07701
Phone (732) 242-7101

535 Sycamore Ave
Shrewsbury, NJ 07702
Phone (737) 741-0970

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1053871673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W ESSEX ST STE 204",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W ESSEX ST STE 204",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071023",
            "telephone_number": "201-289-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTAGURO",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA12354300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

Verify at the official NPI Registry.