Vasisht Plastic and Reconstructive Surgery, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MA71305 Issued in NJ

Legal business name

VASISHT PLASTIC AND RECONSTRUCTIVE SURGERY, PC

Doing business as

South Shore Plastic Surgery

Practice address

1307 White Horse Rd
Suite E501
Voorhees, NJ 08043-2176

Phone

(856) 784-2639

Fax

(856) 784-2659

NPI assigned

Sep 24, 2007

Last updated

Jan 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bhupesh Vasisht, M.D.NPI 1114924487

Title

President

Phone

(856) 784-2639

Specialties & licenses 1

Addresses

Other names 1

• South Shore Plastic Surgery Doing business as

Locations

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.

• Bhupesh Vasisht, M.D.

  • Plastic Surgery Physician
  • Voorhees, NJ
  • NPI 1114924487
  NPD (past) Authorized official

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1942496807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 WHITE HORSE RD",
            "address_2": "SUITE E501",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432176",
            "telephone_number": "856-784-2639",
            "fax_number": "856-784-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 WHITE HORSE RD",
            "address_2": "SUITE E501",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432176",
            "telephone_number": "856-784-2639",
            "fax_number": "856-784-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASISHT PLASTIC AND RECONSTRUCTIVE SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "VASISHT",
        "authorized_official_first_name": "BHUPESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-784-2639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "MA71305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joby Varghese, D.O.
• Mariah Vargo, MA
• Laurie Varlotta, M.D.
• Vascular Care Centers LLC
• Namrata Vashishta, MD
• Bhupesh Vasisht, M.D.
• Shiva Gopal Vasishta, MD
• Regina Vassallo, PHARMD
• Kelly Vazquez, APN
• Veena S Gandhi M.D. P.a.

• Plastic Surgery Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.