Organization Active NPI

Riverside Plastic Surgery & Sinus Center LLC

  • Ambulatory Surgical Clinic/Center
  • Red Bank, NJ
National Provider Identifier
1376592196
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 LLCCCN 31C0001145
Medicare certification status
ActiveFrom the Provider of Services file

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
31D0976473Riverside Plastic Surgery & Sinus Ctr/70 East Front Street 3Rd Floor, Red Bank, NJ 07701Certificate of waiverAug 3, 2026

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": "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

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.

Verify at the official NPI Registry.