NPIMap

Organization Active NPI

Philadelphia Cosmetic Surgery Center

Doing business as PCSC

  • Plastic Surgery Physician
  • Bala Cynwyd, PA
National Provider Identifier
1437383973
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PHILADELPHIA COSMETIC SURGERY CENTER
Doing business as
PCSC
Practice address
15 Presidential Blvd
Suite 200
Bala Cynwyd, PA 19004-1006
Phone
(610) 664-5500
NPI assigned
May 12, 2009
Last updated
May 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Dr. Craig Mezrow, MD
Title
President
Phone
(610) 525-5995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X PA Primary

Addresses

Primary practice location

15 Presidential Blvd
Suite 200
Bala Cynwyd, PA 19004-1006

Mailing address

1237 Waterford CT
Gladwyne, PA 19035-1010
Phone (610) 525-5995

Other names 1

  • PCSC Doing business as

National Provider Directory

National Provider Directory

Locations

15 Presidential Blvd
Bala Cynwyd, PA 19004
Phone (610) 664-3355

15 Presidential Blvd
Ste 200
Bala Cynwyd, PA 19004
Phone (610) 400-8300

225 E City Ave
Ste 14
Bala Cynwyd, PA 19004
Phone (610) 664-8888

Practitioners & affiliated clinicians

Practitioners 5

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": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1437383973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 WATERFORD CT",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351010",
            "telephone_number": "610-525-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PRESIDENTIAL BLVD",
            "address_2": "SUITE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041006",
            "telephone_number": "610-664-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA COSMETIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "MEZROW",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-525-5995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.