Organization Active NPI

Sanjay Mukerji MD PC

  • Plastic and Reconstructive Surgery Physician
  • Aberdeen, SD
National Provider Identifier
1215124128
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
4873 Issued in SD
Legal business name
SANJAY MUKERJI MD PC
Doing business as
Aberdeen Plastic Surgery Associates
Practice address
201 S Lloyd St
Suite W230
Aberdeen, SD 57401-4552
Phone
(605) 725-5030
Fax
(605) 725-5028
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Sanjay Mukerji, MD
Title
President
Phone
(605) 725-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 4873 SD Primary

Addresses

Primary practice location

201 S Lloyd St
Suite W230
Aberdeen, SD 57401-4552

Mailing address

201 S Lloyd St
Suite W230
Aberdeen, SD 57401-4552
Phone (605) 725-5030

Other names 1

  • Aberdeen Plastic Surgery Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1215124128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S LLOYD ST",
            "address_2": "SUITE W230",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014552",
            "telephone_number": "605-725-5030",
            "fax_number": "605-725-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LLOYD ST",
            "address_2": "SUITE W230",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014552",
            "telephone_number": "605-725-5030",
            "fax_number": "605-725-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY MUKERJI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "MUKERJI",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-725-5030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "SD",
            "license": "4873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aberdeen Plastic Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.