Organization Active NPI

Center for Eye and Facial Plastic Surgery

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Somerset, NJ
National Provider Identifier
1366050387
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
CENTER FOR EYE AND FACIAL PLASTIC SURGERY
Practice address
35 Clyde Rd Ste 104
Somerset, NJ 08873-5045
Phone
(609) 608-0142
Fax
(855) 644-0469
NPI assigned
Jul 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Sathyadeepak Ramesh, MDNPI 1053687004
Title
Owner
Phone
(817) 675-1465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0200X Primary

Addresses

Primary practice location

35 Clyde Rd Ste 104
Somerset, NJ 08873-5045

Mailing address

35 Clyde Rd Ste 104
Somerset, NJ 08873-5045
Phone (609) 608-0142

Other practice location 1

22 Old Short Hills Rd Ste 202
Livingston, NJ 07039-5605
Phone (609) 608-0142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200723000149 NJ Part B Supplier - Clinic/Group Practice 8426472473 Receives reassigned benefits from 1 practitioner
Practice locations: Livingston, NJ; Somerset, NJ
O20210210000152 PA Part B Supplier - Clinic/Group Practice 8426472473 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2327273The Center for Eye & Facial Plastic Surgery35 Clyde Rd, Somerset, NJ 08873Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1366050387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CLYDE RD STE 104",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735045",
            "telephone_number": "609-608-0142",
            "fax_number": "855-644-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CLYDE RD STE 104",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735045",
            "telephone_number": "609-608-0142",
            "fax_number": "855-644-0469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Old Short Hills Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070395605",
            "country_code": "US",
            "telephone_number": "609-608-0142",
            "fax_number": "855-644-0469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR EYE AND FACIAL PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "RAMESH",
        "authorized_official_first_name": "SATHYADEEPAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-675-1465",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.