NPIMap

Organization Active NPI

Plastic Surgery Specialists PC

  • Plastic and Reconstructive Surgery Physician
  • Phoenixville, PA
National Provider Identifier
1164521241
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
PLASTIC SURGERY SPECIALISTS PC
Practice address
1288 Valley Forge Rd Suite 65
Phoenixville, PA 19460
Phone
(610) 935-5600
Fax
(610) 935-0830
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
M. T. Monteiro, MBA
Title
Executive Director
Phone
(610) 935-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

1288 Valley Forge Rd Suite 65
Phoenixville, PA 19460

Mailing address

PO Box 604
1288 Valley Forge Rd Suite 64
Valley Forge, PA 19482
Phone (610) 935-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031203000305 PA Part B Supplier - Clinic/Group Practice 7719882778 Receives reassigned benefits from 5 practitioners
Practice locations: Phoenixville, PA

National Provider Directory

National Provider Directory

Locations

420 W Linfield Trappe Rd
Ste 2300
Limerick, PA 19468
Phone (484) 659-0111

1288 Valley Forge Rd
Ste 65
Phoenixville, PA 19460
Phone (610) 935-0225

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1164521241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604",
            "address_2": "1288 VALLEY FORGE RD SUITE 64",
            "city": "VALLEY FORGE",
            "state": "PA",
            "postal_code": "19482",
            "telephone_number": "610-935-5600",
            "fax_number": "610-935-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 VALLEY FORGE RD SUITE 65",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "19460",
            "telephone_number": "610-935-5600",
            "fax_number": "610-935-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "MONTEIRO",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-935-5600",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.