Vip Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

VIP PLASTIC SURGERY

Practice address

107 Monmouth Rd Ste 201
West Long Branch, NJ 07764-1021

Phone

(732) 963-0809

Fax

(732) 963-0814

NPI assigned

Dec 30, 2019

Organization subpart

No

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

Authorized official

Name

Rahul Vemula, MDNPI 1053572024

Title

Owner, Ceo

Phone

(732) 963-0809

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Rahul Vemula, MD

  • Plastic Surgery Physician
  • West Long Branch, NJ
  • NPI 1053572024
  Medicare reassignment NPD Authorized official
• Jae-Marie Valerio, PA-C

  • Physician Assistant
  • Shrewsbury, NJ
  • NPI 1033879143
  Medicare reassignment

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1861031411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MONMOUTH RD STE 201",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641021",
            "telephone_number": "732-963-0809",
            "fax_number": "732-963-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MONMOUTH RD STE 201",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641021",
            "telephone_number": "732-963-0809",
            "fax_number": "732-963-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "VEMULA",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "732-963-0809",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drvemula@vipplasticsurgerynj.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "107 Monmouth Rd Ste 201",
            "city": "West Long Branch",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077641021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Tilton, ATC
• Amanda Tormollan, APN
• Jennifer Trimarchi, MS, LPC, NCC
• Michele Pappa Umlah
• Rahul Vemula, MD
• Boris Volshteyn, MD
• Patrick Roy Walden, PH.D.
• Walgreen Co
• Susan Wei
• Martin L. Weinstock, DDS

• Plastic Surgery Physician in West Long Branch, NJ
• Providers in West Long Branch, 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 Dec 30, 2019; 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.