Naturalis Plastic Surgery & Wellness Center PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

NATURALIS PLASTIC SURGERY & WELLNESS CENTER PLLC

Practice address

528 E Lancaster Ave Ste 100
Radnor, PA 19087-5000

Phone

(610) 477-8244

Fax

(610) 646-1220

NPI assigned

Nov 13, 2025

Organization subpart

No

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

Authorized official

Name

John Gregory FernandezNPI 1316171408

Title

Owner/Physician

Phone

(215) 537-7400

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

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

• John Gregory Fernandez, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Radnor, PA
  • NPI 1316171408
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Rudolph, MSN, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Camden, NJ
  • NPI 1285115451

  PA

  Medicare reassignment Care Compare group
• Renee Masella

  • Occupational Therapist
  • Paoli, PA
  • NPI 1780027797
  Medicare reassignment
• Rebecca Ann Smith

  • Occupational Therapist
  • Newtown Square, PA
  • NPI 1730926924
  Medicare reassignment
• Kelsey Ann Stokes, PA-C

  • Physician Assistant
  • Radnor, PA
  • NPI 1376145607
  Medicare reassignment

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775952000000",
    "number": "1184584096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 E LANCASTER AVE STE 100",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875000",
            "telephone_number": "610-477-8244",
            "fax_number": "610-646-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 E LANCASTER AVE STE 100",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875000",
            "telephone_number": "610-477-8244",
            "fax_number": "610-646-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURALIS PLASTIC SURGERY & WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "215-537-7400"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen K Moon, MSW
• Khadeedra Moore
• Shayana Morris
• Suzanne Muller, LSW
• Emily Engel Murray, MS RD
• Kimberly Nazario
• Daija Neal
• Kelly Ann Nestor, CRNP
• Lauren Newman
• Nicholas Paul del Pesco

• Plastic and Reconstructive Surgery Physician in Radnor, PA
• Providers in Radnor, PA by specialty
• Plastic and Reconstructive Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2026; 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.