Active NPI
Delaware Valley Plastic Surgery, P.a.
- Plastic and Reconstructive Surgery Physician
- Cherry Hill, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 25MA07541400
- Legal business name
- DELAWARE VALLEY PLASTIC SURGERY, P.A.
- Practice address
- 1734 Marlton Pike East
Cherry Hill, NJ 08003 - Phone
- (856) 797-0202
- Fax
- (856) 751-7700
- NPI assigned
- Jan 29, 2007
- Last updated
- Jan 23, 2014
- Organization subpart
- Yes
- Parent organization
- DELAWARE VALLEY PLASTIC SURGERY, P.A.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Evan S. Sorokin, M.D.
- Title
- Owner
- Phone
- (856) 797-0202
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 25MA07541400 | NJ | Primary |
Addresses
Primary practice location
1734 Marlton Pike East
Cherry Hill, NJ 08003
Mailing address
1734 Marlton Pike East
Cherry Hill, NJ 08003
Phone (856) 797-0202
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2056628 | Delaware Valley Plastic Surgery, PA | Certificate of waiver | Mar 31, 2027 |
National Provider Directory
National Provider Directory- Part of
- Delaware Valley Plastic
Locations
100 Brick Rd
Ste 215
Marlton, NJ 08053
Phone (856) 334-5810
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- Cherry Hill, NJ
- NPI 1619960325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390435200000",
"number": "1184760183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1734 MARLTON PIKE EAST",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08003",
"telephone_number": "856-797-0202",
"fax_number": "856-751-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1734 MARLTON PIKE EAST",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08003",
"telephone_number": "856-797-0202",
"fax_number": "856-751-7700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELAWARE VALLEY PLASTIC SURGERY, P.A.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DELAWARE VALLEY PLASTIC SURGERY, P.A.",
"enumeration_date": "2007-01-29",
"last_updated": "2014-01-23",
"status": "A",
"authorized_official_last_name": "SOROKIN",
"authorized_official_first_name": "EVAN",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-797-0202",
"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": "25MA07541400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
- Emily Delaurentis
- Joseph J. Delaurentis, MD
- Delaware Valley Pain Institute LLC
- Delaware Valley Pain Institute LLC (Comprehensive Pain Management)
- Delaware Valley Pedorthic Services, LLC
- Delaware Valley Urology LLC
- Delcrest Medical Products and Services
- Miguel L. Deleon, M.D.
- Jean Delferro, OTRL
- Catherine Delfino, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.