NPIMap

Organization Active NPI

Renee Comizio MD LLC

  • Plastic and Reconstructive Surgery Physician
  • Morristown, NJ
National Provider Identifier
1255736948
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
25MA08713200 Issued in NJ
Legal business name
RENEE COMIZIO MD LLC
Practice address
101 Madison Ave Ste 200
Morristown, NJ 07960-7305
Phone
(973) 775-9248
Fax
(877) 787-9098
NPI assigned
Oct 24, 2014
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Kristen Awn
Title
Office Admin
Phone
(973) 775-9248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 25MA08713200 NJ Primary

Addresses

Primary practice location

101 Madison Ave Ste 200
Morristown, NJ 07960-7305

Mailing address

PO Box 122
New Vernon, NJ 07976-0122
Phone (973) 775-9248

National Provider Directory

National Provider Directory

Locations

435 South St
Ste 360
Morristown, NJ 07960
Phone (973) 971-7200

Practitioners & affiliated clinicians

Practitioners 6

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": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1255736948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "NEW VERNON",
            "state": "NJ",
            "postal_code": "079760122",
            "telephone_number": "973-775-9248",
            "fax_number": "877-787-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MADISON AVE STE 200",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607305",
            "telephone_number": "973-775-9248",
            "fax_number": "877-787-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE COMIZIO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2023-08-22",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "AWN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "973-775-9248"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA08713200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.