Active NPI
Michael Risin, M.D.
- Plastic Surgery Physician
- Edison, NJ
National Provider Identifier
1407800808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Practice address
- 2 Lincoln Hwy
Suite 508
Edison, NJ 08820-3961 - Phone
- (732) 933-8788
- Fax
- (732) 933-1536
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | NJ | Primary |
Addresses
Primary practice location
2 Lincoln Hwy
Suite 508
Edison, NJ 08820-3961
Mailing address
PO Box 398
Holmdel, NJ 07733-0398
Phone (732) 933-8788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2008 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MAO7613600 | NJ | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Risin Plastic Surgery Associates, PLLC | Plastic Surgery | Current | Accepting new patients |
| Atlantic Plastic and Hand Surgery, PA | Current | Accepting new patients |
Locations
2 State Route 27
Ste 508
Edison, NJ 08820
Phone (908) 505-2327
721 N Beers St
Ste 2B
Holmdel, NJ 07733
Phone (732) 335-0335
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Edison, NJ
- NPI 1669631362
-
- Plastic Surgery Physician
- Palm Beach, FL
- NPI 1346991957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1407800808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 398",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077330398",
"telephone_number": "732-933-8788",
"fax_number": "732-933-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 LINCOLN HWY",
"address_2": "SUITE 508",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203961",
"telephone_number": "732-933-8788",
"fax_number": "732-933-1536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISIN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.