Mona Lisa Cosmetic Surgery Center

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

MA065731 Issued in NJ

Legal business name

MONA LISA COSMETIC SURGERY CENTER

Practice address

1176 Hamburg Tpke
Wayne, NJ 07470-5069

Phone

(973) 692-9300

Fax

(973) 692-9301

NPI assigned

May 11, 2010

Organization subpart

No

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

Authorized official

Name

Ramtin Kassir, M.D., F.A.C.S.

Title

Physician

Phone

(973) 692-9300

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1770801086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705069",
            "telephone_number": "973-692-9300",
            "fax_number": "973-692-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705069",
            "telephone_number": "973-692-9300",
            "fax_number": "973-692-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA LISA COSMETIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "KASSIR",
        "authorized_official_first_name": "RAMTIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-692-9300",
        "authorized_official_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NJ",
            "license": "MA065731",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "MA065731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Mohammed, MD
• Reyad Mohsen, MD
• Hormoz Mohtashemi, MD
• Tahmina Mojumder
• Ruth Mollod, PH.D.
• Monarch Anesthesia of Wayne, LLC
• Jennefer Erinna Monck, M.D.
• Vanessa Monopoli, PT, DPT
• Ga Hyun Moon, L.AC
• Sabreena Moose, PA-C

• Otolaryngology/Facial Plastic Surgery Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Otolaryngology/Facial Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.