Active NPI
Alicia J Soltys, P.A.
- Surgical Physician Assistant
- Montclair, NJ
National Provider Identifier
1285748632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 25MP00118400
- Practice address
- 37 N Fullerton Ave
The Plastic Surgery Group
Montclair, NJ 07042-3426 - Phone
- (973) 233-1933
- Fax
- (973) 233-1934
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 25MP00118400 | NJ | Primary |
Addresses
Primary practice location
37 N Fullerton Ave
The Plastic Surgery Group
Montclair, NJ 07042-3426
Mailing address
37 N Fullerton Ave
The Plastic Surgery Group
Montclair, NJ 07042-3426
Phone (973) 233-1933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00118400 | NJ | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285748632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 N FULLERTON AVE",
"address_2": "THE PLASTIC SURGERY GROUP",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423426",
"telephone_number": "973-233-1933",
"fax_number": "973-233-1934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 N FULLERTON AVE",
"address_2": "THE PLASTIC SURGERY GROUP",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423426",
"telephone_number": "973-233-1933",
"fax_number": "973-233-1934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLTYS",
"first_name": "ALICIA",
"middle_name": "J",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NJ",
"license": "25MP00118400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.