Organization Active NPI

Altman Center for Aesthetic Plastic and Reconstructive Surgery

  • Plastic Surgery Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1750832499
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA07298500 Issued in NJ
Legal business name
ALTMAN CENTER FOR AESTHETIC PLASTIC AND RECONSTRUCTIVE SURGERY
Practice address
570 Sylvan Ave
2ND Floor
Englewood Cliffs, NJ 07632-3132
Phone
(201) 569-3334
Fax
(201) 569-3321
NPI assigned
Oct 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Diane Rein
Title
Director Medical Billing
Phone
(201) 569-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 25MA07298500 NJ Primary

Addresses

Primary practice location

570 Sylvan Ave
2ND Floor
Englewood Cliffs, NJ 07632-3132

Mailing address

570 Sylvan Ave
2ND Floor
Englewood Cliffs, NJ 07632-3132
Phone (201) 569-3334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161024000404 NJ Part B Supplier - Clinic/Group Practice 6002194230 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood Cliffs, NJ

National Provider Directory

National Provider Directory

Locations

570 Sylvan Ave
Fl 2
Englewood Cliffs, NJ 07632
Phone (201) 569-3334

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1750832499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 SYLVAN AVE",
            "address_2": "2ND FLOOR",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323132",
            "telephone_number": "201-569-3334",
            "fax_number": "201-569-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 SYLVAN AVE",
            "address_2": "2ND FLOOR",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323132",
            "telephone_number": "201-569-3334",
            "fax_number": "201-569-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTMAN CENTER FOR AESTHETIC PLASTIC AND RECONSTRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "REIN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR MEDICAL BILLING",
        "authorized_official_telephone_number": "201-569-3334"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA07298500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.