Organization Active NPI

Atlantic Plastic and Hand Surgery, PA

  • Plastic and Reconstructive Surgery Physician
  • Edison, NJ
National Provider Identifier
1669631362
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
25MA07613600 Issued in NJ
Legal business name
ATLANTIC PLASTIC AND HAND SURGERY, PA
Practice address
2 Route 27
Suite 508
Edison, NJ 08820-3961
Phone
(732) 933-8788
Fax
(732) 933-1536
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Michael Simon Risin, MDNPI 1407800808
Title
President
Phone
(732) 933-8788

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 25MA07613600 NJ Primary

Addresses

Primary practice location

2 Route 27
Suite 508
Edison, NJ 08820-3961

Mailing address

PO Box 398
Holmdel, NJ 07733-0398
Phone (732) 933-8788

National Provider Directory

National Provider Directory

Locations

721 N Beers St
Ste 2B
Holmdel, NJ 07733
Phone (732) 335-0335

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": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1669631362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077330398",
            "telephone_number": "732-933-8788",
            "fax_number": "732-933-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ROUTE 27",
            "address_2": "SUITE 508",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203961",
            "telephone_number": "732-933-8788",
            "fax_number": "732-933-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PLASTIC AND HAND SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "RISIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-933-8788",
        "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": "NJ",
            "license": "25MA07613600",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.