NPIMap

Organization Active NPI

Baljeet K Purewal, MD, LLC

Doing business as Cosmetic Eyelid Surgery of Short Hills

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Short Hills, NJ
National Provider Identifier
1902317316
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
BALJEET K PUREWAL, MD, LLC
Doing business as
Cosmetic Eyelid Surgery of Short Hills
Practice address
1046 S Orange Ave
Short Hills, NJ 07078-3131
Phone
(917) 359-3164
Fax
(866) 498-8755
NPI assigned
Oct 12, 2017
Last updated
Oct 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Authorized official

Name
Dr. Baljeet Kaur Purewal, MDNPI 1265516355
Title
Owner
Phone
(917) 359-3164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X NU Primary

Addresses

Primary practice location

1046 S Orange Ave
Short Hills, NJ 07078-3131

Mailing address

10 Jason LN
Livingston, NJ 07039-3400
Phone (917) 359-3164

Other names 1

  • Cosmetic Eyelid Surgery of Short Hills Doing business as

National Provider Directory

National Provider Directory

Locations

82 Main St
Chatham, NJ 07928
Phone (973) 635-4000

Practitioners & affiliated clinicians

Practitioners 4

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": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1902317316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JASON LN",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393400",
            "telephone_number": "917-359-3164"
        },
        {
            "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": "917-359-3164",
            "fax_number": "866-498-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALJEET K PUREWAL, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "PUREWAL",
        "authorized_official_first_name": "BALJEET",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-359-3164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmetic Eyelid Surgery of Short Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.