The Plastic Surgery Group PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

THE PLASTIC SURGERY GROUP PA

Practice address

37 North Fullerton Ave
Montclair, NJ 07042

Phone

(973) 233-1933

Fax

(973) 233-1934

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Jansy Martinez

Title

Practice Manager

Phone

(973) 233-1933

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 5

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

• Valerie J Ablaza, MD

  • Plastic Surgery Physician
  • Montclair, NJ
  • NPI 1780798298
  Medicare reassignment Care Compare group NPD
• John Cece, MD

  • Plastic Surgery Physician
  • Montclair, NJ
  • NPI 1699201145
  Medicare reassignment Care Compare group NPD
• Allen D Rosen, M.D.

  • Plastic Surgery Physician
  • Montclair, NJ
  • NPI 1659485159
  Medicare reassignment Care Compare group
• Teresa Hartman, PA-C

  • Surgical Physician Assistant
  • Montclair, NJ
  • NPI 1164616926
  Medicare reassignment
• Lawrence Lazelle Anderson, MD

  • Dermatology Physician
  • Tyler, TX
  • NPI 1134159627
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1760589972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 N FULLERTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423426",
            "telephone_number": "973-233-1933",
            "fax_number": "973-233-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 NORTH FULLERTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-233-1933",
            "fax_number": "973-233-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLASTIC SURGERY GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-10-08",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JANSY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "973-233-1933"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Nutrition Studio, LLC
• Therapy With You
• Jessica Therlonge
• Stacia Thiel, LCSW
• Andrew Todd Thomas, PSY.D.
• Alex Shaquille Thompson, LCSW, MSW

• Plastic Surgery Physician in Montclair, NJ
• Providers in Montclair, 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 Oct 8, 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.