NPIMap

Organization Active NPI

Magee-Rosenblum Plastic Surgery, Inc

Doing business as Galardi/Rosenblum Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1255449872
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
MAGEE-ROSENBLUM PLASTIC SURGERY, INC
Doing business as
Galardi/Rosenblum Plastic Surgery
Practice address
1817 Republic Rd
Virginia Beach, VA 23454-4543
Phone
(757) 496-5556
Fax
(757) 496-4939
NPI assigned
Aug 25, 2006
Reactivated
Sep 20, 2022
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Mrs. Christine Wood
Title
Practice Administrator
Phone
(757) 496-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X NU Primary

Addresses

Primary practice location

1817 Republic Rd
Virginia Beach, VA 23454-4543

Mailing address

1817 Republic Rd
Virginia Beach, VA 23454-4543
Phone (757) 496-5556

Other names 2

  • GALARDI/ROSENBLUM PLASTIC SURGERY Doing business as
  • GBR Plastic Surgery Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624001547 VA Part B Supplier - Clinic/Group Practice 5597741231 Receives reassigned benefits from 2 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

12720 McManus Blvd
Ste 103
Newport News, VA 23602
Phone (757) 369-7000

12720 McManus Blvd
Ste 203
Newport News, VA 23602
Phone (757) 243-8550

400 W Brambleton Ave
Ste 103
Norfolk, VA 23510
Phone (757) 622-3339

400 W Brambleton Ave
Ste 301
Norfolk, VA 23510
Phone (757) 627-6700

1817 Republic Rd
Virginia Beach, VA 23454
Phone (757) 491-3204

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1255449872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 REPUBLIC RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544543",
            "telephone_number": "757-496-5556",
            "fax_number": "757-496-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 REPUBLIC RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544543",
            "telephone_number": "757-496-5556",
            "fax_number": "757-496-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGEE-ROSENBLUM PLASTIC SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "deactivation_date": "2022-08-02",
        "reactivation_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "757-496-5556",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GALARDI/ROSENBLUM PLASTIC SURGERY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GALARDI/ROSENBLUM PLASTIC SURGERY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GBR Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GBR Plastic Surgery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.