Lorelle N Michelson, MD. F.a.C.S. LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

LORELLE N MICHELSON, MD. F.A.C.S. LLC

Practice address

475 Grand Ave
Englewood, NJ 07631-4965

Phone

(201) 871-9808

Fax

(201) 871-9658

NPI assigned

May 18, 2009

Organization subpart

No

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

Authorized official

Name

Lorelle N Michelson, MDNPI 1033107925

Title

Owner

Phone

(201) 871-9808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Lorelle Michelson, M.D.

  • Plastic Surgery Physician
  • West Orange, NJ
  • NPI 1033107925
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1750516910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314965",
            "telephone_number": "201-871-9808",
            "fax_number": "201-871-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORELLE N MICHELSON, MD. F.A.C.S. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "MICHELSON",
        "authorized_official_first_name": "LORELLE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-871-9808",
        "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": []
}

• Lisa Long, MPT
• Longevity Acupuncture
• Longevity Surgical LLC.
• Alison Michelle Lopez, M.A., CCC-SLP
• Patricia Adele Lopinto, APN
• Julie Lytton Lorton, M.D.
• Nachum M Loss, P.T.
• Chun Kyu Lowe, M.D., PH.D.
• LTF Associates, LLC
• Diane P Lubinski, APN-C

• Plastic Surgery Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.