Northern Jersey Plastic Surgery Center, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA08118000 Issued in NJ

Legal business name

NORTHERN JERSEY PLASTIC SURGERY CENTER, LLC

Practice address

25 Rockwood PL Ste 405
Englewood, NJ 07631-4960

Phone

(201) 225-1811

Fax

(201) 616-7789

NPI assigned

Nov 1, 2006

Last updated

Mar 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Troy Ezra Callahan, M.D.NPI 1962444976

Title

Managing Director

Phone

(201) 225-1811

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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.

• Troy Ezra Callahan, MD

  • Plastic Surgery Physician
  • Englewood, NJ
  • NPI 1962444976
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Verrico, DO

  • Plastic and Reconstructive Surgery Physician
  • Philadelphia, PA
  • NPI 1356760631

  NJ

  Medicare reassignment Care Compare group NPD
• Diana Carolina Lopez, PA

  • Medical Physician Assistant
  • Parsippany, NJ
  • NPI 1053726414
  Medicare reassignment

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1649357435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PL STE 405",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314960",
            "telephone_number": "201-225-1811",
            "fax_number": "201-616-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PL STE 405",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314960",
            "telephone_number": "201-225-1811",
            "fax_number": "201-616-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN JERSEY PLASTIC SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "EZRA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "201-225-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA08118000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Jersey Laparoscopic Associates
• North Jersey Medical & Geriatric Associates LLC
• North Jersey Medical and Geriatrics Associates
• North Jersey Whole Health Center, LLC
• Northeast Anesthesia and Pain Management, LLC
• Northern New Jersey Dialysis, LLC (Englewood Dialysis Center)
• Northern Valley Anesthesiology, P.a.
• Northern Valley ENT & Facial Plastics
• Northern Valley Oba, PA
• Maria Camille B Nunez, LCSW

• Plastic Surgery Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.