Active NPI
Watts Plastic Surgery Association, P.C.
- Ambulatory Surgical Clinic/Center
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- WATTS PLASTIC SURGERY ASSOCIATION, P.C.
- Practice address
- 1051 W Sherman Ave
BLDG. 2 Ste a
Vineland, NJ 08360-6931 - Phone
- (856) 691-0200
- Fax
- (856) 691-5984
- NPI assigned
- Apr 18, 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
- Dr. David Cassell Watts
- Title
- Ceo
- Phone
- (856) 691-0200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NJ | Primary |
Addresses
Primary practice location
1051 W Sherman Ave
BLDG. 2 Ste a
Vineland, NJ 08360-6931
Mailing address
1051 W Sherman Ave
BLDG. 2 Ste a
Vineland, NJ 08360-6931
Phone (856) 691-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Watts Plastic Surgery Association PC
- 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 |
|---|---|---|---|
| 31D1013639 | Watts Plastic Surgery Association | Certificate of waiver | Jun 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
1051 W Sherman Ave
Ste A
Vineland, NJ 08360
Phone (856) 566-7036
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Freehold, NJ
- NPI 1285604645
-
- Specialist
- Vineland, NJ
- NPI 1699730234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1396700944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 W SHERMAN AVE",
"address_2": "BLDG. 2 STE A",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083606931",
"telephone_number": "856-691-0200",
"fax_number": "856-691-5984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 W SHERMAN AVE",
"address_2": "BLDG. 2 STE A",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083606931",
"telephone_number": "856-691-0200",
"fax_number": "856-691-5984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATTS PLASTIC SURGERY ASSOCIATION, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WATTS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "CASSELL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "856-691-0200",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, 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.