NPIMap

Organization Active NPI

Advanced Cosmetic Surgery and Laser Center, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Plymouth Meeting, PA
National Provider Identifier
1720109325
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
M0024621E Issued in PA
Legal business name
ADVANCED COSMETIC SURGERY AND LASER CENTER, INC.
Practice address
1000 Germantown Pike
Suite E1
Plymouth Meeting, PA 19462
Phone
(610) 275-8710
Fax
(610) 277-2480
NPI assigned
Apr 2, 2007
Last updated
Feb 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Dr. Joseph A Rabson, M.D.NPI 1851337042
Title
President
Phone
(610) 275-8710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X M0024621E PA Primary

Addresses

Primary practice location

1000 Germantown Pike
Suite E1
Plymouth Meeting, PA 19462

Mailing address

1000 Germantown Pike
Suite E1
Plymouth Meeting, PA 19462
Phone (610) 275-8710

Other identifiers 3

IdentifierTypeStateIssuer
0045261000OtherPAKEYSTONE
052663OtherPABSPA
50002OtherPAAETNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1720109325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GERMANTOWN PIKE",
            "address_2": "SUITE E1",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "19462",
            "telephone_number": "610-275-8710",
            "fax_number": "610-277-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GERMANTOWN PIKE",
            "address_2": "SUITE E1",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "19462",
            "telephone_number": "610-275-8710",
            "fax_number": "610-277-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COSMETIC SURGERY AND LASER CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "RABSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-275-8710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "M0024621E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0045261000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSPA",
            "identifier": "052663",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "50002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.