Individual provider Active NPI

Andrew Nouri, M.D.

  • Plastic Surgery Physician
  • Paramus, NJ
National Provider Identifier
1891189700
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA11871100 Issued in NJ
Practice address
16 Arcadian Way Ste C7
Paramus, NJ 07652-1291
Phone
(973) 200-2050
NPI assigned
Mar 28, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Plastic and Reconstructive Surgery
Education
Rutgers New Jersey Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 Arcadian Way
Suite C7
Paramus, NJ 07652-1291
Phone (973) 200-2050

Hospital & facility affiliations

  • Chilton Medical Center Hospital · Pompton Plains, NJ · CCN 310017
  • Valley Hospital Hospital · Paramus, NJ · CCN 310012
  • Englewood Hospital and Medical Center Hospital · Englewood, NJ · CCN 310045

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231102000514 NJ Practitioner - Plastic and Reconstructive Surgery 5890141428 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11871100NJMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
16 Arcadian Way Plastic Surgery Current
since Jan 26, 2025
Accepting new patients
Nouri Plastic Surgery LLC Plastic Surgery Current
since Oct 3, 2023
Accepting new patients

Locations

16 Arcadian Way
Ste C7
Paramus, NJ 07652
Phone (973) 200-2050

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA11871100 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

16 Arcadian Way Ste C7
Paramus, NJ 07652-1291

Mailing address

16 Arcadian Way Ste C7
Paramus, NJ 07652-1291
Phone (973) 200-2050

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2023.

{
    "created_epoch": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1891189700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ARCADIAN WAY STE C7",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521291",
            "telephone_number": "973-200-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ARCADIAN WAY STE C7",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521291",
            "telephone_number": "973-200-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURI",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-28",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA11871100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.