Organization Active NPI

The Facial Surgery Center

  • Plastic and Reconstructive Surgery Physician
  • Charleston, SC
National Provider Identifier
1871669390
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
THE FACIAL SURGERY CENTER
Practice address
2097 Henry Tecklenburg Dr
Suite 211 West
Charleston, SC 29414-5740
Phone
(843) 571-4742
Fax
(843) 571-3619
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Dr. Marcelo L Hochman, MDNPI 1780797449
Title
Medical Director/Owner
Phone
(843) 571-4742

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 and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

2097 Henry Tecklenburg Dr
Suite 211 West
Charleston, SC 29414-5740

Mailing address

526 Johnnie Dodds Boulevard, Suite 202
Mount Pleasant, SC 29464-1703
Phone (843) 571-4742

Other identifiers 1

IdentifierTypeStateIssuer
157859MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241014000615 SC Part B Supplier - Clinic/Group Practice 3476085689 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, SC

National Provider Directory

National Provider Directory

Locations

2097 Henry Tecklenburg Dr
Ste 211
Charleston, SC 29414
Phone (843) 571-4742

526 Johnnie Dodds Blvd
Ste 202
Mt Pleasant, SC 29464
Phone (843) 571-4742

Practitioners & affiliated clinicians

Practitioners 2

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": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1871669390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 JOHNNIE DODDS BOULEVARD, SUITE 202",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294641703",
            "telephone_number": "843-571-4742",
            "fax_number": "843-571-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 HENRY TECKLENBURG DR",
            "address_2": "SUITE 211 WEST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145740",
            "telephone_number": "843-571-4742",
            "fax_number": "843-571-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FACIAL SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "HOCHMAN",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "843-571-4742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157859",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.