Organization Active NPI

Center for Plastic Cosmetic and Hand Surgery PC

Doing business as Metropolitan Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Marlton, NJ
National Provider Identifier
1639655871
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD068309-L Issued in PA
Legal business name
CENTER FOR PLASTIC COSMETIC AND HAND SURGERY PC
Doing business as
Metropolitan Plastic Surgery
Practice address
127 Church Rd Ste 100
Marlton, NJ 08053-9402
Phone
(856) 345-2240
Fax
(609) 784-0913
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Dr. Julia Spears, MDNPI 1750379624
Title
Owner
Phone
(215) 880-0273

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X MD068309-L PA Primary

Addresses

Primary practice location

127 Church Rd Ste 100
Marlton, NJ 08053-9402

Mailing address

13 Horseshoe Dr
Mount Laurel, NJ 08054-3055
Phone (215) 880-0273

Other names 1

  • Metropolitan Plastic Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181126000801 NJ Part B Supplier - Clinic/Group Practice 2567715493 Receives reassigned benefits from 1 practitioner
Practice locations: Marlton, NJ

National Provider Directory

National Provider Directory

Locations

127 Church Rd
Ste 100
Marlton, NJ 08053
Phone (856) 345-2240

Practitioners & affiliated clinicians

Practitioners 1

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": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1639655871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HORSESHOE DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543055",
            "telephone_number": "215-880-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CHURCH RD STE 100",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539402",
            "telephone_number": "856-345-2240",
            "fax_number": "609-784-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PLASTIC COSMETIC AND HAND SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-880-0273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD068309-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metropolitan Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.