Active NPI
Paul Matthew Presti, M.D.
- Facial Plastic Surgery Physician
- Mountainside, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 25MA08409300
- Practice address
- 213 Summit Rd
Suite 1
Mountainside, NJ 07092-2316 - Phone
- (908) 233-2111
- Fax
- (908) 458-9944
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 240704 | NY | |
| Facial Plastic Surgery Physician | 207YS0123X | 25MA08409300 | NJ | Primary |
Addresses
Primary practice location
213 Summit Rd
Suite 1
Mountainside, NJ 07092-2316
Mailing address
213 Summit Rd
Suite 1
Mountainside, NJ 07092-2316
Phone (908) 233-2111
Other names 1
- Dr. Paul Matthew Presti
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Georgetown University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
213 Summit Rd
Mountainside, NJ 07092-2316
Phone (908) 233-2111
Hospital & facility affiliations
- Overlook Medical Center
- Morristown Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 13 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240704 | NY | MD | Otolaryngology Physician |
| 25MA08409300 | NJ | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Dermatology LLC | Current | Accepting new patients | |
| Drake & Presti ENT Surgical Associates, LLC | Otolaryngology | Current | Accepting new patients |
| Rousso Facial Plastic Surgery Clinic PC | Past | Accepting new patients | |
| Clark Dermatology, LLC | Past | Accepting new patients |
Locations
1075 Central Ave
Clark, NJ 07066
Phone (732) 574-1399
469 Morris Ave
Ste 3
Elizabeth, NJ 07208
Phone (732) 574-1399
622 Boulevard
Kenilworth, NJ 07033
Phone (908) 241-3181
213 Summit Rd
Mountainside, NJ 07092
Phone (908) 233-2111
213 Summit Rd
Ste 1
Mountainside, NJ 07092
Phone (908) 233-2111
189 Elm St
Westfield, NJ 07090
Phone (908) 233-5500
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Mountainside, NJ
- NPI 1164714317
-
- Dermatology Physician
- Clark, NJ
- NPI 1851562425
-
- Dermatology Physician
- Staten Island, NY
- NPI 1417316274
-
- Specialist
- Birmingham, AL
- NPI 1225140627
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1710035084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 SUMMIT RD",
"address_2": "SUITE 1",
"city": "MOUNTAINSIDE",
"state": "NJ",
"postal_code": "070922316",
"telephone_number": "908-233-2111",
"fax_number": "908-458-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 SUMMIT RD",
"address_2": "SUITE 1",
"city": "MOUNTAINSIDE",
"state": "NJ",
"postal_code": "070922316",
"telephone_number": "908-233-2111",
"fax_number": "908-458-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTI",
"first_name": "PAUL",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "240704",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NJ",
"license": "25MA08409300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAUL",
"last_name": "PRESTI",
"middle_name": "MATTHEW",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mountainside, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.