Individual provider Active NPI

Nebil Bill Aydin, MD

  • Plastic and Reconstructive Surgery Physician
  • Paramus, NJ
National Provider Identifier
1073776589
Registry record updated Jul 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
25MA08725200 Issued in NJ
Practice address
140 N Rte 17
Suite 200
Paramus, NJ 07652-2809
Phone
(201) 345-0100
Fax
(201) 820-0333
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 234202 NY
Plastic and Reconstructive Surgery Physician 2086S0122X 234202 NY
Plastic and Reconstructive Surgery Physician 2086S0122X 25MA08725200 NJ Primary

Addresses

Primary practice location

140 N Rte 17
Suite 200
Paramus, NJ 07652-2809

Mailing address

140 N Rte 17
Suite 200
Paramus, NJ 07652-2809
Phone (201) 345-0100

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
I20141002001431 NJ Practitioner - Plastic and Reconstructive Surgery 5193849180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 N Rte
17 Suite 200
Paramus, NJ 07652-2829
Phone (201) 345-0100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08725200NJMDPlastic and Reconstructive Surgery Physician
234202NYMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen County Surgery Center LLP Current Accepting new patients
Aydin Plastic Surgery PA CurrentSince Jul 1, 2014 Accepting new patients
New York Group for Plastic Surgery, LLP Plastic and Reconstructive Surgery Past Accepting new patients

Locations

140 N Route 17
Ste 200
Paramus, NJ 07652
Phone (201) 345-0100

Interoperability endpoints

  • Direct secure messaging: aydincenter.nebilaydin@155556.advancedmd-direct.com
  • Direct secure messaging: naydin189386@ahs.direct-ci.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1073776589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N RTE 17",
            "address_2": "SUITE 200",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522809",
            "telephone_number": "201-345-0100",
            "fax_number": "201-820-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N RTE 17",
            "address_2": "SUITE 200",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522809",
            "telephone_number": "201-345-0100",
            "fax_number": "201-820-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYDIN",
        "first_name": "NEBIL",
        "middle_name": "BILL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "234202",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "234202",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA08725200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.