Organization Active NPI

American Surgical Arts, PC

  • Plastic Surgery Physician
  • Mullica Hill, NJ
National Provider Identifier
1598067464
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA08686600 Issued in NJ
Legal business name
AMERICAN SURGICAL ARTS, PC
Practice address
199 Mullica Hill Rd
Mullica Hill, NJ 08062-2655
Phone
(856) 362-8898
Fax
(856) 362-8903
NPI assigned
Nov 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Dr. Sean M. Bidic, MDNPI 1730124256
Title
Owner
Phone
(856) 362-8898

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 25MA08686600 NJ Primary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X 25MA08686600 NJ

Addresses

Primary practice location

199 Mullica Hill Rd
Mullica Hill, NJ 08062-2655

Mailing address

199 Mullica Hill Rd
Mullica Hill, NJ 08062-2655
Phone (856) 362-8898

Other identifiers 1

IdentifierTypeStateIssuer
1730124256OtherNPI OF OWNER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101201000599 NJ Part B Supplier - Clinic/Group Practice 1153517214 Receives reassigned benefits from 6 practitioners
Practice locations: Mullica Hill, NJ
O20180201002950 DE Part B Supplier - Clinic/Group Practice 1153517214 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, DE

National Provider Directory

National Provider Directory

Locations

4735 Ogletown Stanton Rd
Ste 202
Newark, DE 19713
Phone (856) 362-8898

1505 W Sherman Ave
Ste B
Vineland, NJ 08360
Phone (856) 641-8635

2950 College Dr
Ste 1B
Vineland, NJ 08360
Phone (856) 691-7588

1501 Lansdowne Ave
Ste 307
Darby, PA 19023
Phone (856) 362-8898

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1598067464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 MULLICA HILL RD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622655",
            "telephone_number": "856-362-8898",
            "fax_number": "856-362-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MULLICA HILL RD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622655",
            "telephone_number": "856-362-8898",
            "fax_number": "856-362-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SURGICAL ARTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2022-01-07",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "BIDIC",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-362-8898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA08686600",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NJ",
            "license": "25MA08686600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OF OWNER",
            "identifier": "1730124256",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.