Organization Active NPI

New Reflections Plastic Surgery LLC

  • Plastic Surgery Physician
  • Freehold, NJ
National Provider Identifier
1386831196
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA08305000 Issued in NJ
Legal business name
NEW REFLECTIONS PLASTIC SURGERY LLC
Practice address
1001 W Main St
Suite a
Freehold, NJ 07728-2579
Phone
(732) 354-3792
NPI assigned
Sep 26, 2007
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Nikesh K Patel, M.D.NPI 1881887800
Title
Physician
Phone
(732) 354-3792

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA08305000 NJ Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 25MA08305000 NJ
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 25MA08305000 NJ

Addresses

Primary practice location

1001 W Main St
Suite a
Freehold, NJ 07728-2579

Mailing address

1001 W Main St
Suite a
Freehold, NJ 07728-2579
Phone (732) 354-3792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071112000232 NJ Part B Supplier - Clinic/Group Practice 5890883755 Receives reassigned benefits from 1 practitioner
Practice locations: Freehold, NJ

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1386831196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "address_2": "SUITE A",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282579",
            "telephone_number": "732-354-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "address_2": "SUITE A",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282579",
            "telephone_number": "732-354-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW REFLECTIONS PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIKESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-354-3792",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA08305000",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "NJ",
            "license": "25MA08305000",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NJ",
            "license": "25MA08305000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.