Organization Active NPI

Associates in Plastic Surgery & ENT PA

  • Plastic Surgery Physician
  • Edison, NJ
National Provider Identifier
1629084280
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
ASSOCIATES IN PLASTIC SURGERY & ENT PA
Practice address
1150 Amboy Ave
Edison, NJ 08837-2500
Phone
(732) 548-3200
Fax
(732) 548-1919
NPI assigned
Aug 1, 2006
Last updated
Feb 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Ms. Maria Monteiro
Title
Manager
Phone
(732) 548-3200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU
Facial Plastic Surgery Physician 207YS0123X 25MA06867200 NJ
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

1150 Amboy Ave
Edison, NJ 08837-2500

Mailing address

1150 Amboy Ave
Edison, NJ 08837-2500
Phone (732) 548-3200

Other identifiers 2

IdentifierTypeStateIssuer
0786784000OtherNJAMERI HEALTH
2070751OtherNJAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000253 NJ Part B Supplier - Clinic/Group Practice 3274432232 Receives reassigned benefits from 3 practitioners
Practice locations: Edison, NJ; Englishtown, NJ; Warren, NJ

National Provider Directory

National Provider Directory

Locations

5 Mountain Blvd
Ste 7
Warren, NJ 07059
Phone (908) 222-8440

1424 Richmond Ave
Staten Island, NY 10314
Phone (718) 370-1288

Practitioners & affiliated clinicians

Practitioners 4

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1629084280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372500",
            "telephone_number": "732-548-3200",
            "fax_number": "732-548-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372500",
            "telephone_number": "732-548-3200",
            "fax_number": "732-548-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN PLASTIC SURGERY & ENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "MONTEIRO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-548-3200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NJ",
            "license": "25MA06867200",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERI HEALTH",
            "identifier": "0786784000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2070751",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.