Palisade Plastic Surgery Associates PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

MA58683 Issued in NJ

Legal business name

PALISADE PLASTIC SURGERY ASSOCIATES PC

Practice address

1567 Palisade Ave 3Rd Floor
Fort Lee, NJ 07024-6923

Phone

(201) 585-2388

Fax

(201) 947-3860

NPI assigned

Dec 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul H Rosenberg, M.D.NPI 1447319777

Title

Managing Physician

Phone

(201) 585-2388

Specialties & licenses 1

Addresses

Other names 1

• Paul Rosenberg MD PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Paul H Rosenberg, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Fort Lee, NJ
  • NPI 1447319777
  Medicare reassignment NPD Authorized official
• Abraham Pathak, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Purchase, NY
  • NPI 1760771547

  NJ, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265591556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 PALISADE AVE 3RD FLOOR",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246923",
            "telephone_number": "201-585-2388",
            "fax_number": "201-947-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 PALISADE AVE 3RD FLOOR",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246923",
            "telephone_number": "201-585-2388",
            "fax_number": "201-947-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADE PLASTIC SURGERY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "201-585-2388",
        "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": "MA58683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul Rosenberg MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Painlessdds PC
• Gloria J Pak, PHARM D
• Hong Sik Pak, M.D.
• Neetha Devassy Palatty, RPH
• Palisade Anesthesia, LLC
• Palisade Surgery Center LLC
• Palisades Dental Associates PC
• Palisades Oral Surgery
• Palisades Park Podiatry PC (Choice Podiatry of NJ)
• Palisades Surgical Suites, LLC

• Plastic and Reconstructive Surgery Physician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Plastic and Reconstructive Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.