Organization Active NPI

RSJ Plastic Surgery LLC

  • Plastic Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1790054765
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
RSJ PLASTIC SURGERY LLC
Practice address
410 Evernia St Ste 109
West Palm Beach, FL 33401-5431
Phone
(561) 249-0390
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Ravinder S. Jarial, DONPI 1528103298
Title
Physician
Phone
(561) 249-0390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

410 Evernia St Ste 109
West Palm Beach, FL 33401-5431

Mailing address

410 Evernia St Ste 110
West Palm Beach, FL 33401-5431
Phone (561) 249-0390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251201000028 FL Part B Supplier - Clinic/Group Practice 0446411797 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

410 Evernia St
Ste 109
West Palm Beach, FL 33401
Phone (561) 249-0390

410 Evernia St
Ste 110
West Palm Beach, FL 33401

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1790054765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 EVERNIA ST STE 110",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015431",
            "telephone_number": "561-249-0390",
            "fax_number": "561-249-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 EVERNIA ST STE 109",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015431",
            "telephone_number": "561-249-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSJ PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "JARIAL",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-249-0390",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.