Organization Active NPI

Bucks County Plastic Surgery Center, PC

  • Plastic Surgery Physician
  • Newtown, PA
National Provider Identifier
1407819055
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
BUCKS COUNTY PLASTIC SURGERY CENTER, PC
Practice address
104 Pheasant Run
Sutie 123
Newtown, PA 18940-3439
Phone
(215) 702-8600
Fax
(215) 633-3480
NPI assigned
Apr 6, 2006
Last updated
Jul 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Authorized official

Name
Robert J Skalicky, DONPI 1134182231
Title
Owner
Phone
(215) 633-3470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

104 Pheasant Run
Sutie 123
Newtown, PA 18940-3439

Mailing address

104 Pheasant Run
Suite 123
Newtown, PA 18940-3439
Phone (215) 702-8600

National Provider Directory

National Provider Directory

Locations

3300 Tillman Dr
Ste 204
Bensalem, PA 19020
Phone (215) 633-3470

540 Woodbourne Rd
Ste 2
Langhorne, PA 19047

104 Pheasant Run
#2000
Newtown, PA 18940

104 Pheasant Run
Ste 123
Newtown, PA 18940
Phone (215) 702-8600

Practitioners & affiliated clinicians

Practitioners 4

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": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1407819055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN",
            "address_2": "SUITE 123",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403439",
            "telephone_number": "215-702-8600",
            "fax_number": "215-633-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN",
            "address_2": "SUTIE 123",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403439",
            "telephone_number": "215-702-8600",
            "fax_number": "215-633-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKS COUNTY PLASTIC SURGERY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "SKALICKY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-633-3470",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.