Michael Patsis, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA06731200 Issued in NJ

Practice address

70 Sparta Ave
Suite 105
Sparta, NJ 07871-1760

Phone

(973) 726-4250

NPI assigned

Dec 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447312137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078710642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SPARTA AVE",
            "address_2": "SUITE 105",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711760",
            "telephone_number": "973-726-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATSIS",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA06731200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MA06731200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mamta S. Patel, DNP, APN, FNP-C
• Neha Dipak Patel
• Sharad B Patel, PHARMD
• Shefali Patel
• Anna Patras, D.M.D.
• Ashley Patti, LPC
• Alissa Paulison, LPAT, ATR-BC
• Heather Pedersen, LCSW, LCADC
• Shirley Lacaden Pegollo, APN
• Peli Eyecare and Associates

• Plastic Surgery Physician in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.