Plastic & Cosmetic Surgery Institute PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA06143100 Issued in NJ

Legal business name

PLASTIC & COSMETIC SURGERY INSTITUTE PC

Practice address

1051 W Sherman Ave
BLDG 2, Suite a
Vineland, NJ 08360-6931

Phone

(856) 691-0200

Fax

(856) 691-5984

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David C Watts, MDNPI 1699730234

Title

Ceo

Phone

(856) 691-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• David Cassell Watts, M.D.

  • Specialist
  • Vineland, NJ
  • NPI 1699730234
  Medicare reassignment Authorized official
• Miriam Olga Anolik, MD

  • Pediatrics Physician
  • Bala Cynwyd, PA
  • NPI 1366524043
  NPD (past)
• Nancy Hillis, MD

  • Pediatrics Physician
  • Bala Cynwyd, PA
  • NPI 1427048297
  NPD (past)
• Katherine Elizabeth Wong, CPNP

  • Nurse Practitioner
  • Philadelphia, PA
  • NPI 1104355098
  NPD (past)

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1154639052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 W SHERMAN AVE",
            "address_2": "BLDG 2, SUITE A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606931",
            "telephone_number": "856-691-0200",
            "fax_number": "856-691-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W SHERMAN AVE",
            "address_2": "BLDG 2, SUITE A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606931",
            "telephone_number": "856-691-0200",
            "fax_number": "856-691-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC & COSMETIC SURGERY INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-691-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06143100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6527400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pinnacle ENT Alliance of New Jersey LLC
• Pinnacle Healthcare Management, Inc.
• Pinnacle Treatment Centers NJ III LLC
• Pinnacle Treatment Centers NJ III LLC
• Angela Marie Pizzo-Kelly, NP
• John Platanella Jr., RPH.
• Platoni Surgical Assistance, LLC
• Sandy Platoni
• Marcus Logan Plumleigh, DOCTOR OF OSTEOPATHY
• Stacey Lynn Pomales, CDA, RDA

• Specialist in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.