The Center for Aesthetic Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE CENTER FOR AESTHETIC SURGERY LLC

Practice address

314 W Carroll St
Suite 2
Salisbury, MD 21801-5305

Phone

(410) 546-2375

Fax

(410) 546-8529

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vincent J Perrotta, M.D.NPI 1720033541

Title

President

Phone

(410) 546-2375

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

The Center for Aesthetic Surgery LLCCCN 21C0001007

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent J Perrotta, M.D.

  • Plastic Surgery Physician
  • Salisbury, MD
  • NPI 1720033541
  NPD (past) Authorized official
• Geraldine F Goertzen, MD

  • Emergency Medicine Physician
  • Easton, MD
  • NPI 1114905551
  NPD (past)
• Kerri Holloway, APRN

  • Family Nurse Practitioner
  • Salisbury, MD
  • NPI 1295272185
  NPD (past)
• Farouk A Sultani, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Salisbury, MD
  • NPI 1730134602
  NPD (past)
• Paige Elan Hanna, CRNP

  • Nurse Practitioner
  • Millsboro, DE
  • NPI 1386166346
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1487609335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W CARROLL ST",
            "address_2": "SUITE 2",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015305",
            "telephone_number": "410-546-2375",
            "fax_number": "410-546-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W CARROLL ST",
            "address_2": "SUITE 2",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015305",
            "telephone_number": "410-546-2375",
            "fax_number": "410-546-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR AESTHETIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "PERROTTA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-546-2375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Tayman, CRNP
• Eghosa Tedunjaiye, DPT
• Tewodros Bizuwork Teferra, M.D.
• Jennifer S Tengen, RPH
• Matthew Thomas Terrell, MPT
• The Great Atlantic and Pacific Tea Company Inc
• The Guiding Light Wellness Center
• The Hair Clinic RX, LLC
• The Holistic Hive
• The Nemours Foundation

• Ambulatory Surgical Clinic/Center in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.