Active NPI
Delaware Valley Plastic Surgery, P.a.
- Plastic and Reconstructive Surgery Physician
- Cherry Hill, NJ
National Provider Identifier
1184760183
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
- 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
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 Surgery PA
Locations
100 Brick Rd
Ste 215
Marlton, NJ 08053
Phone (856) 334-5810
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
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.