Organization Active NPI

Nemerofsky Plastic Surgery Corporation

  • Plastic Surgery Physician
  • Denville, NJ
National Provider Identifier
1437199957
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA07215500 Issued in NJ
Legal business name
NEMEROFSKY PLASTIC SURGERY CORPORATION
Practice address
16 Pocono Rd
Suite 103
Denville, NJ 07834-2901
Phone
(973) 784-1024
Fax
(973) 710-0887
NPI assigned
Jun 7, 2006
Last updated
Jul 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Dr. Robert Becker Nemerofsky, M.D.NPI 1629061908
Title
President
Phone
(973) 784-1024

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA07215500 NJ Primary
Surgery Physician 208600000X 25MA07215500 NJ

Addresses

Primary practice location

16 Pocono Rd
Suite 103
Denville, NJ 07834-2901

Mailing address

PO Box 1025
Denville, NJ 07834-0625
Phone (973) 784-1024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805000053 NJ Part B Supplier - Clinic/Group Practice 8123099819 Receives reassigned benefits from 1 practitioner
Practice locations: Denville, NJ; Dover, NJ; Sussex, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1437199957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1025",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078340625",
            "telephone_number": "973-784-1024",
            "fax_number": "973-710-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POCONO RD",
            "address_2": "SUITE 103",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342901",
            "telephone_number": "973-784-1024",
            "fax_number": "973-710-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEMEROFSKY PLASTIC SURGERY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "NEMEROFSKY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BECKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-784-1024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA07215500",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07215500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.