Active NPI
Plastic Surgery Specialists of New Jersey, LLC
- Plastic Surgery Physician
- Edison, NJ
National Provider Identifier
1942455803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 25MA05839600
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
5 Mountain Blvd
#F
Warren, NJ 07059
Phone (908) 222-8440
Interoperability endpoints
- 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.
-
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Edison, NJ
- NPI 1134133945
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.