Paul Jai Therattil, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA10358100 Issued in NJ

Practice address

113 W Essex St Ste 202
Maywood, NJ 07607-1023

Phone

(973) 972-8092

Fax

(201) 603-1993

NPI assigned

Mar 28, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Rutgers New Jersey Medical School, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aesthetic and Reconstructive Surgeons, LLCGroup PAC ID 9830114362, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aesthetic & Reconstructive Surgeons, LLC

  • Plastic Surgery Physician
  • Rochelle Park, NJ
  • NPI 1396914420
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Hackensack, NJ
  • NPI 1457456279
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Hackensack, NJ
  • NPI 1518683929

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1285977256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WOODBINE CIR",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741737",
            "fax_number": "201-603-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W ESSEX ST STE 202",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071023",
            "telephone_number": "973-972-8092",
            "fax_number": "201-603-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERATTIL",
        "first_name": "PAUL",
        "middle_name": "JAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA10358100",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectrum for Living Development, Inc.
• Megan Strickland
• Kathy Lea Tate, DPT
• Sweta R Thakker, R.PH.
• The Devereux Foundation
• Ann Mary Thomas, PA
• Tom Thomas, ATC, EMT
• Ian David Thomson, D.C.
• Carol Ann Tompkins, MS
• Chelsea Torres, PSY.D., CMPC

• Plastic Surgery Physician in Maywood, NJ
• Providers in Maywood, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.