Individual provider Active NPI

Barry S Citron, MD

  • Plastic Surgery Physician
  • West Orange, NJ
National Provider Identifier
1942232301
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA05489200 Issued in NJ
Practice address
101 Old Short Hills Rd Ste 205
West Orange, NJ 07052-1093
Phone
(973) 243-2300
Fax
(973) 243-2400
NPI assigned
Jul 7, 2006
Last updated
Feb 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA05489200 NJ Primary

Addresses

Primary practice location

101 Old Short Hills Rd Ste 205
West Orange, NJ 07052-1093

Mailing address

101 Old Short Hills Rd Ste 205
West Orange, NJ 07052-1093
Phone (973) 243-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051012001075 NJ Practitioner - Plastic and Reconstructive Surgery 6709801392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Miami, LM Miller School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Old Short Hills Rd
Suite 205
West Orange, NJ 07052-1093
Phone (973) 243-2300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision86
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05489200NJMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Aesthetic Plastic Surgery, P.a. Plastic Surgery CurrentSince Oct 1, 2007 Accepting new patients

Locations

315 E Northfield Rd
Ste 2A
Livingston, NJ 07039
Phone (973) 535-3200

101 Old Short Hills Rd
Ste 205
West Orange, NJ 07052
Phone (973) 243-2300

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1942232301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD STE 205",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521093",
            "telephone_number": "973-243-2300",
            "fax_number": "973-243-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD STE 205",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521093",
            "telephone_number": "973-243-2300",
            "fax_number": "973-243-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITRON",
        "first_name": "BARRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA05489200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.