Organization Active NPI

Aydin Plastic Surgery PA

  • Plastic Surgery Physician
  • Paramus, NJ
National Provider Identifier
1801200472
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA08725200 Issued in NJ
Legal business name
AYDIN PLASTIC SURGERY PA
Practice address
140 N Rte 17 Ste 200
Paramus, NJ 07652-2829
Phone
(201) 345-0100
Fax
(201) 820-0333
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Authorized official

Name
Dr. Nebil Bill Aydin, M.D.NPI 1073776589
Title
President
Phone
(201) 265-1300

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 25MA08725200 NJ Primary

Addresses

Primary practice location

140 N Rte 17 Ste 200
Paramus, NJ 07652-2829

Mailing address

140 N Route 17
Suite 200
Paramus, NJ 07652-2809
Phone (201) 345-0100

Other identifiers 1

IdentifierTypeStateIssuer
1073776589OtherINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141002001711 NJ Part B Supplier - Clinic/Group Practice 9638399249 Receives reassigned benefits from 1 practitioner
Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory

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": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1801200472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N ROUTE 17",
            "address_2": "SUITE 200",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522809",
            "telephone_number": "201-345-0100",
            "fax_number": "201-820-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N RTE 17 STE 200",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522829",
            "telephone_number": "201-345-0100",
            "fax_number": "201-820-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYDIN PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "AYDIN",
        "authorized_official_first_name": "NEBIL",
        "authorized_official_middle_name": "BILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-265-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA08725200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1073776589",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; 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.