Personal Plastic Surgery LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA58573 Issued in NJ

Legal business name

PERSONAL PLASTIC SURGERY LLC

Practice address

383 Northfield Ave
West Orange, NJ 07052-3024

Phone

(973) 324-9455

NPI assigned

Jun 5, 2008

Last updated

Jul 13, 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. Sanjay Lalla, M.D.NPI 1295797256

Title

President

Phone

(973) 324-9455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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.

• Sanjay Lalla, M. D.

  • Plastic Surgery Physician
  • West Orange, NJ
  • NPI 1295797256
  Medicare reassignment NPD Authorized official
• Sujata Lalla-Reddy, M.D.

  • Infectious Disease Physician
  • Fountain Valley, CA
  • NPI 1891711909
  NPD (past)

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720828800000",
    "number": "1710146766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523024",
            "telephone_number": "973-324-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523024",
            "telephone_number": "973-324-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A",
        "authorized_official_last_name": "LALLA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-324-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA58573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perri Savino & Ketz LLC (81 Northfield Dental Assoc)
• Alexa Paige Perrone, PT, DPT
• Joseph A Persico, DPT
• Kevin Bruce Persily, DDS
• Personal Care Adult Medicine, PC
• Javicia N Peterson-Cole
• Zinoviya Petryshyn, PA-C
• Michael Peysaknov, PT, DPT
• Kate Gruenwald Pfeifer, LCSW
• Geoffrey A Philhower, BCBA

• Specialist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.