Michael J. Conn, M.D., P.C.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

MA59246 Issued in NJ

Legal business name

MICHAEL J. CONN, M.D., P.C.

Practice address

870 Palisade Ave
Suite 203
Teaneck, NJ 07666-3419

Phone

(201) 836-9296

Fax

(201) 836-3571

NPI assigned

May 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Conn, M.D.NPI 1689755191

Title

President

Phone

(201) 836-9296

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Michael J. Conn, M.D.

  • Plastic Surgery Physician
  • Teaneck, NJ
  • NPI 1689755191
  Medicare reassignment Authorized official
• Larisa K Gershman, MD

  • Internal Medicine Physician
  • Pompton Lakes, NJ
  • NPI 1447223201
  NPD (past)

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114135217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE",
            "address_2": "SUITE 203",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663419",
            "telephone_number": "201-836-9296",
            "fax_number": "201-836-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE",
            "address_2": "SUITE 203",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663419",
            "telephone_number": "201-836-9296",
            "fax_number": "201-836-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. CONN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-836-9296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "MA59246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Jack Meyerson, PH.D.
• Mi Medical Supplies LLC
• Philip L Micale, M.D.
• Michael a Newdow MD PA
• Michael G Kailas
• Michael R. Milano MD PC
• Waldy W Mieses, BA
• Maurizio A. Miglietta, DO
• Alan S. Miller, MD
• Felicia Miller

• Plastic and Reconstructive Surgery Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Plastic and Reconstructive Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.