Mdstyle

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

25MA07910000 Issued in NJ

Legal business name

MDSTYLE

Practice address

300 Grand Ave
Suite 104
Englewood, NJ 07631-4398

Phone

(201) 408-5430

Fax

(201) 408-5437

NPI assigned

Aug 8, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Monica Tadros, MD, FACS

Title

Medical Director, Ceo

Phone

(201) 408-5430

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1376975649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GRAND AVE",
            "address_2": "SUITE 104",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314398",
            "telephone_number": "201-408-5430",
            "fax_number": "201-408-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GRAND AVE",
            "address_2": "SUITE 104",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314398",
            "telephone_number": "201-408-5430",
            "fax_number": "201-408-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDSTYLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR, CEO",
        "authorized_official_telephone_number": "201-408-5430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACS"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NJ",
            "license": "25MA07910000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violet M McIntosh, MD
• Kimberly Ann McKenna, NP
• Rebecca W McLaren, PA-C
• Sharde McLeish
• MDCS Dermatology and Cosmetic Surgery
• Medical Associates of Englewood, PC
• Medical Associates of Englewood, PC
• Medical Associates of Englewood, PC
• Medical Associates of Englewood, PC
• Medical Group of Englewood, Inc

• All providers in Englewood, NJ
• Otolaryngology/Facial Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.