Plastic and Reconstructive Surgery Associates, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MA069410 Issued in NJ

Legal business name

PLASTIC AND RECONSTRUCTIVE SURGERY ASSOCIATES, LLC

Practice address

222 Bridge St
Metuchen, NJ 08840-2291

Phone

(732) 632-6090

Fax

(732) 632-6094

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Steven Lloyd Shoen, M.D.NPI 1629159694

Title

Owner of LLC

Phone

(732) 632-6090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Lloyd Shoen, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Metuchen, NJ
  • NPI 1629159694
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1104068451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BRIDGE ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402291",
            "telephone_number": "732-632-6090",
            "fax_number": "732-632-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BRIDGE ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402291",
            "telephone_number": "732-632-6090",
            "fax_number": "732-632-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC AND RECONSTRUCTIVE SURGERY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "SHOEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER OF LLC",
        "authorized_official_telephone_number": "732-632-6090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "MA069410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Counseling Center LLC
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• Physical Therapy & Sports Medicine Center of Metuchen
• Physical Therapy and You
• Therese D Piasecki, NP
• Point of View Counseling LLC
• Leigh Blaine Polin, SOCIAL WORKER, LCSW
• Nathaniel Howard Poorman, D.M.D.
• Positive Impact Behavioral Health Services
• Nancy Cecile Prendergast, MD

• Plastic Surgery Physician in Metuchen, NJ
• Providers in Metuchen, 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 Apr 1, 2009; 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.