Organization Active NPI

Westfield Plastic Surgical Center LLC

  • Specialist
  • Springfield, NJ
National Provider Identifier
1174642128
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WESTFIELD PLASTIC SURGICAL CENTER LLC
Practice address
955 S Springfield Ave
Suite 105. BLDG a
Springfield, NJ 07081-3574
Phone
(908) 659-0480
Fax
(908) 654-6504
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Dee Aponte
Title
Billing
Phone
(908) 654-6540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

955 S Springfield Ave
Suite 105. BLDG a
Springfield, NJ 07081-3574

Mailing address

955 S Springfield Ave
Suite 105, BLDG. a
Springfield, NJ 07081-3574
Phone (908) 654-6540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150205000111 NJ Part B Supplier - Ambulatory Surgical Center 7012232572 Practice locations: Springfield, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Westfield Plastic Surgical Center LLCCCN 31C0001325
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2196464Westfield Plastic Surgical Center, LLC955 S Springfield Ave, Suite 105, Building a, Springfield, NJ 07081Certificate of waiverOct 15, 2026

National Provider Directory

National Provider Directory

Locations

955 S Springfield Ave
Ste 105
Springfield, NJ 07081
Phone (908) 654-6540

Practitioners & affiliated clinicians

Practitioners 3

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1174642128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 S SPRINGFIELD AVE",
            "address_2": "SUITE 105, BLDG. A",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813574",
            "telephone_number": "908-654-6540",
            "fax_number": "908-654-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 S SPRINGFIELD AVE",
            "address_2": "SUITE 105. BLDG A",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813574",
            "telephone_number": "908-659-0480",
            "fax_number": "908-654-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTFIELD PLASTIC SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "APONTE",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "908-654-6540"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.