Active NPI
Justyna M Cerefin, PA-C
- Plastic and Reconstructive Surgery Physician
- Shrewsbury, NJ
National Provider Identifier
1528539871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 25MP00499900
- Practice address
- 535 Sycamore Ave
Shrewsbury, NJ 07702-4224 - Phone
- (732) 741-0970
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MA060360 | PA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 25MP00499900 | NJ | Primary |
Addresses
Primary practice location
535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Mailing address
924 Columbus Rd
Burlington, NJ 08016-2841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Evergreen Drive
Suite 5
Glen Mills, PA 19342-1032
Phone (732) 741-0970
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00499900 | NJ | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Woods O.R., Inc. | Past | Accepting new patients |
Interoperability endpoints
- jcerefin59001@epicdirect.rwjbh.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Red Bank, NJ
- NPI 1386613834
PA
-
- Ambulatory Surgical Clinic/Center
- Tinton Falls, NJ
- NPI 1952610768
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
-
- General Acute Care Hospital
- Phoenixville, PA
- NPI 1750805552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1528539871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 COLUMBUS RD",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080162841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 SYCAMORE AVE",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024224",
"telephone_number": "732-741-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEREFIN",
"first_name": "JUSTYNA",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "PA",
"license": "MA060360",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NJ",
"license": "25MP00499900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, NJ
- Rainnier M Centeno, PH.D
- Center for Dermatologic Care, LLC
- Center for the Functional Restoration of the Spine LLC
- Central Jersey Center for Foot & Ankle Surgery, LLC
- Central Jersey Otolaryngology LLC
- Champion Health, LLC
- Jennifer Champion
- Jennifer Lynne Chaney, M.S.W LCSW
- Eun Hae Chang, MD
- Kimberly R Charette, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.
- 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.