Individual provider Active NPI

Paul Matthew Presti, M.D.

  • Facial Plastic Surgery Physician
  • Mountainside, NJ
National Provider Identifier
1710035084
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
25MA08409300 Issued in NJ
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

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090121000322 NJ Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 2769583004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Georgetown University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drake and Presti ENT Surgical Associates, LLCGroup PAC ID 2062684541, 2 clinicians

Practice addresses (Care Compare)

213 Summit Rd
Mountainside, NJ 07092-2316
Phone (908) 233-2111

Hospital & facility affiliations

  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
240704NYMDOtolaryngology Physician
25MA08409300NJMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Dermatology LLC CurrentSince Aug 1, 2017 Accepting new patients
Drake & Presti ENT Surgical Associates, LLC Otolaryngology CurrentSince Jun 1, 2011 Accepting new patients
Rousso Facial Plastic Surgery Clinic PC PastSince Jul 1, 2012 Accepting new patients
Clark Dermatology, LLC PastSince May 11, 2025 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.