Princeton Surgical Specialties, P.a.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

25MA05948100 Issued in NJ

Legal business name

PRINCETON SURGICAL SPECIALTIES, P.A.

Practice address

300B Princeton Hightstown Rd
Ste 101
East Windsor, NJ 08520

Phone

(609) 448-4000

Fax

(609) 426-6995

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Robert Wisser, M.D.NPI 1114069671

Title

President

Phone

(609) 448-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Robert Wisser, M.D.

  • Plastic Surgery Physician
  • East Windsor, NJ
  • NPI 1114069671
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396947909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300B PRINCETON HIGHTSTOWN RD",
            "address_2": "STE 101",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "08520",
            "telephone_number": "609-448-4000",
            "fax_number": "609-426-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B PRINCETON HIGHTSTOWN RD",
            "address_2": "STE 101",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "08520",
            "telephone_number": "609-448-4000",
            "fax_number": "609-426-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON SURGICAL SPECIALTIES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISSER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-448-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA05948100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic and Reconstructive Surgery Physician in East Windsor, NJ
• Providers in East Windsor, NJ by specialty
• Plastic and Reconstructive Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.