Individual provider Active NPI

Michael Risin, M.D.

  • Plastic Surgery Physician
  • Edison, NJ
National Provider Identifier
1407800808
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
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

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
25MAO7613600NJMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Risin Plastic Surgery Associates, PLLC Plastic Surgery Current Accepting new patients
Atlantic Plastic and Hand Surgery, PA CurrentSince Sep 16, 2005 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.

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

Verify at the official NPI Registry.