Individual provider Active NPI

Elizabeth Verrico, DO

  • Plastic and Reconstructive Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1356760631
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
OS23338 Issued in FL
Practice address
160 E Erie Ave
Philadelphia, PA 19134-1011
Phone
(215) 427-5191
NPI assigned
Apr 15, 2014
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X OS23338 FL Primary
Plastic and Reconstructive Surgery Physician 2086S0122X 25MB11540300 NJ
Plastic and Reconstructive Surgery Physician 2086S0122X OS022028 PA
Plastic and Reconstructive Surgery Physician 2086S0122X 334759-01 NY

Addresses

Primary practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Mailing address

13470 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1850
Phone (239) 212-1974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221128001406 PA Practitioner - Plastic and Reconstructive Surgery 0446581003 Reassigns benefits to 1 organization
I20231106000042 NJ Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 0446581003 Reassigns benefits to 1 organization
I20260505002138 FL Practitioner - Plastic and Reconstructive Surgery 0446581003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Jersey Plastic Surgery Center, LLCGroup PAC ID 0749289981, 2 clinicians

Practice addresses (Care Compare)

25 Rockwood PL
Suite 405
Englewood, NJ 07631-4960
Phone (201) 225-1811

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS23338FLMDPlastic and Reconstructive Surgery Physician
25MB11540300NJMDPlastic and Reconstructive Surgery Physician
334759-01NYMDPlastic and Reconstructive Surgery Physician
OS022028PAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TC Plastic Surgery Corp Plastic and Reconstructive Surgery CurrentSince May 11, 2025 Accepting new patients
STC Pediatrics LLC Current Accepting new patients
STC Pediatrics LLC CurrentSince Dec 1, 2022 Accepting new patients
Northern Jersey Plastic Surgery Center, LLC CurrentSince Oct 3, 2023 Accepting new patients
STC Pediatrics LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

25 Rockwood Pl
Ste 405
Englewood, NJ 07631
Phone (201) 225-1811

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

Organizations & group practices 6

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1356760631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13470 PARKER COMMONS BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121850",
            "telephone_number": "239-212-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ERIE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341011",
            "telephone_number": "215-427-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRICO",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "OS23338",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MB11540300",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "OS022028",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "334759-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.