Jablonka Plastic Surgery, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

JABLONKA PLASTIC SURGERY, LLC

Practice address

2829 Shore Dr Ste 200
Virginia Beach, VA 23451-1498

Phone

(757) 734-1000

Fax

(757) 734-1001

NPI assigned

Jan 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Eric Michael Jablonka, MDNPI 1528367893

Title

Plastic & Reconstructive Surgeon

Phone

(757) 734-1000

Specialties & licenses 1

Addresses

Other names 1

• Coastal Virginia Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 3

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

• Eric Michael Jablonka, MD

  • Plastic Surgery Physician
  • Virginia Beach, VA
  • NPI 1528367893
  Medicare reassignment Care Compare group NPD Authorized official
• Alexander Marino Sailon, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Virginia Beach, VA
  • NPI 1851525919

  Plastic Surgery

  Medicare reassignment Care Compare group NPD
• Joshua Henderson

  • Student in an Organized Health Care Education/Training Program
  • Louisville, KY
  • NPI 1346778438

  VA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1699426007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 SHORE DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511498",
            "telephone_number": "757-734-1000",
            "fax_number": "757-734-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 SHORE DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511498",
            "telephone_number": "757-734-1000",
            "fax_number": "757-734-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Medical Pkwy Ste 316",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204985",
            "country_code": "US",
            "telephone_number": "757-734-1000",
            "fax_number": "757-734-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JABLONKA PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "JABLONKA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PLASTIC & RECONSTRUCTIVE SURGEON",
        "authorized_official_telephone_number": "757-734-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Virginia Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• J. Matthew Hogendobler, D.M.D.
• J. Michael Weil, P.C.
• J. R. Bek, D.D.S., P.C.
• J&DS Nemt LLC
• Ahlam Jaber
• Eric Michael Jablonka, MD
• Anthony T Jablonski
• Jack I Cherin DMD
• Jack Mavromatis DDS, LTD.
• Jack Mavromatis, DDS, LTD.

• Plastic Surgery Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.