Organization Active NPI

Plastic Surgery Specialists of New Jersey, LLC

  • Plastic Surgery Physician
  • Edison, NJ
National Provider Identifier
1942455803
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA05839600 Issued in NJ
Legal business name
PLASTIC SURGERY SPECIALISTS OF NEW JERSEY, LLC
Practice address
1150 Amboy Ave
Edison, NJ 08837-2500
Phone
(732) 548-3200
Fax
(732) 548-1919
NPI assigned
Nov 19, 2008
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Dr. Andrew J. Miller, M.D.NPI 1134133945
Title
President
Phone
(732) 548-3200

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
Plastic Surgery Physician 208200000X 25MA05839600 NJ Primary

Addresses

Primary practice location

1150 Amboy Ave
Edison, NJ 08837-2500

Mailing address

1150 Amboy Ave
Edison, NJ 08837-2500
Phone (732) 548-3200

National Provider Directory

National Provider Directory

Locations

5 Mountain Blvd
#F
Warren, NJ 07059
Phone (908) 222-8440

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24980/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1942455803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372500",
            "telephone_number": "732-548-3200",
            "fax_number": "732-548-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372500",
            "telephone_number": "732-548-3200",
            "fax_number": "732-548-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY SPECIALISTS OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-548-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA05839600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.