Organization Active NPI

Sood Center for Plastic Surgery

  • Plastic Surgery Physician
  • Linwood, NJ
National Provider Identifier
1336657121
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MB09088300 Issued in NJ
Legal business name
SOOD CENTER FOR PLASTIC SURGERY
Doing business as
Sood Center for Plastic Surgery
Practice address
199 New Rd Ste 31
Linwood, NJ 08221-2025
Phone
(609) 904-5390
NPI assigned
Jan 16, 2018
Organization subpart
Yes
Parent organization
SOOD CENTER FOR PLASTIC SURGERY, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Nancy Weber-Deptola
Title
Billing Manager
Phone
(877) 479-2622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 25MB09088300 NJ Primary

Addresses

Primary practice location

199 New Rd Ste 31
Linwood, NJ 08221-2025

Mailing address

199 New Rd Ste 31
Linwood, NJ 08221-2025
Phone (609) 904-5390

Other names 1

  • Sood Center for Plastic Surgery Doing business as

National Provider Directory

National Provider Directory
Part of
Sood Center for Plastic Surgery PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1336657121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 NEW RD STE 31",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212025",
            "telephone_number": "609-904-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 NEW RD STE 31",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212025",
            "telephone_number": "609-904-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOOD CENTER FOR PLASTIC SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOOD CENTER FOR PLASTIC SURGERY, PC",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "WEBER-DEPTOLA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "877-479-2622"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MB09088300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sood Center for Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.