Organization Active NPI

Plastic Surgery of Short Hills PC

  • Specialist
  • Short Hills, NJ
National Provider Identifier
1861712085
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07719600 Issued in NJ
Legal business name
PLASTIC SURGERY OF SHORT HILLS PC
Practice address
1046 S Orange Ave
Short Hills, NJ 07078-3131
Phone
(973) 379-0101
NPI assigned
Jun 10, 2010
Last updated
Jun 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Alexander OvchinskyNPI 1871554469
Title
MD
Phone
(212) 979-4572

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
Specialist 174400000X 25MA07719600 NJ Primary

Addresses

Primary practice location

1046 S Orange Ave
Short Hills, NJ 07078-3131

Mailing address

PO Box 2625
New York, NY 10009-8925
Phone (212) 979-4572

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110106000423 NJ Part B Supplier - Clinic/Group Practice 3476742487 Receives reassigned benefits from 1 practitioner
Practice locations: Short Hills, NJ

National Provider Directory

National Provider Directory

Locations

1046 S Orange Ave
Short Hills, NJ 07078
Phone (973) 379-0101

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGEAD

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1861712085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2625",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098925",
            "telephone_number": "212-979-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 S ORANGE AVE",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070783131",
            "telephone_number": "973-379-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY OF SHORT HILLS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "OVCHINSKY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-979-4572"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07719600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Short Hills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.