Active NPI
Riverside Plastic Surgery & Sinus Center LLC
- Ambulatory Surgical Clinic/Center
- Red Bank, NJ
National Provider Identifier
1376592196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- RIVERSIDE PLASTIC SURGERY & SINUS CENTER LLC
- Practice address
- 70 E Front St
Suite 3
Red Bank, NJ 07701-1851 - Phone
- (732) 747-5300
- Fax
- (732) 747-9922
- NPI assigned
- May 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Louise Kindya
- Title
- Administrator
- Phone
- (732) 747-5300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NJ | Primary |
Addresses
Primary practice location
70 E Front St
Suite 3
Red Bank, NJ 07701-1851
Mailing address
70 E Front St
Suite 3
Red Bank, NJ 07701-1851
Phone (732) 747-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130523000252 | NJ | Part B Supplier - Ambulatory Surgical Center | 5890933345 | Practice locations: Red Bank, NJ |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Riverside Plastic Surgery Sinus Ctr LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0976473 | Riverside Plastic Surgery & Sinus Ctr/ | Certificate of waiver | Aug 3, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Red Bank, NJ
- NPI 1891793204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1376592196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 E FRONT ST",
"address_2": "SUITE 3",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011851",
"telephone_number": "732-747-5300",
"fax_number": "732-747-9922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 E FRONT ST",
"address_2": "SUITE 3",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011851",
"telephone_number": "732-747-5300",
"fax_number": "732-747-9922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE PLASTIC SURGERY & SINUS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "KINDYA",
"authorized_official_first_name": "LOUISE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "732-747-5300",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Bank, NJ
- Ritesh Shah Foundation for Ritesh Shah Charitable Pharmacy
- Cristie Ritz-King, LPC
- Brionna A Rivera, M.S. ED., CF-SLP
- Rivers Health Associates, LLC
- Colleen Marie Rivers, MD
- Riverview Cardiac Diagnostic Associates P.a.
- Riverview Foot & Ankle Associates, P.C.
- Riverview Medical Center
- Riverview Medical Center
- Riverview Medical Center Family Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.