New Jersey Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

NEW JERSEY PLASTIC SURGERY

Practice address

29 Park St
Montclair, NJ 07042-3407

Phone

(973) 509-2000

NPI assigned

Sep 23, 2021

Organization subpart

No

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

Authorized official

Name

Shirlee Wilson

Title

Office Manager

Phone

(973) 509-2000

Specialties & licenses 1

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1073284675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423407",
            "telephone_number": "973-509-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423407",
            "telephone_number": "973-509-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHIRLEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-509-2000"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427342971",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942563564",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164599262",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neurostim, LLC.
• Neurosurgical Care of New Jersey, P.a.
• New Allied Health Group LLC
• New Jersey Center for Restorative Breathing, LLC
• New Jersey CVS Pharmacy LLC
• New Jersey/Pennsylvania Em-I Medical Services PC
• New York Injury Chiropractic Rehab PC
• Deborah Poskanzer New, LCSW
• Melanie New, LSW
• Ashley Elizabeth Newman

• Plastic Surgery Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.