Surg-Elite PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

25MA07209200 Issued in NJ

Legal business name

SURG-ELITE PC

Practice address

101 Old Short Hills Road
Suite 501
West Orange, NJ 07052-1080

Phone

(973) 731-2000

NPI assigned

Aug 28, 2007

Last updated

May 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

A. Peter Salas, MD, FACS, FACM

Title

Ceo

Phone

(973) 731-2000

Specialties & licenses 1

Addresses

Other names 1

• A. Peter Salas MD, FACS, FACM Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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.

• Nataliya Ioshpa, NP

  • Nurse Practitioner
  • West Orange, NJ
  • NPI 1700162773
  Medicare reassignment Care Compare group NPD
• A Peter Salas, MD, FACS, FACM

  • Plastic and Reconstructive Surgery Physician
  • West Orange, NJ
  • NPI 1124189030
  Medicare reassignment Care Compare group NPD
• Priti P Patel, M.D

  • Plastic Surgery Physician
  • Bedminster, NJ
  • NPI 1760629273
  NPD

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1780878348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LARKIN CIRCLE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521080",
            "telephone_number": "973-731-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS ROAD",
            "address_2": "SUITE 501",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521080",
            "telephone_number": "973-731-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURG-ELITE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "A. PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-731-2000",
        "authorized_official_credential": "MD, FACS, FACM"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA07209200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A. Peter Salas MD, FACS, FACM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Robyn Lisa Sutton, DPT
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• Plastic and Reconstructive Surgery Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Plastic and Reconstructive Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.