Troy Ezra Callahan, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA0811800 Issued in NJ

Practice address

25 Rockwood PL Ste 405
Englewood, NJ 07631-4960

Phone

(201) 225-1811

Fax

(201) 616-7789

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Plastic and Reconstructive SurgeryAlso: Hand Surgery

Education

Icahn School of Medicine at Mount Sinai, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Jersey Plastic Surgery Center, LLCGroup PAC ID 0749289981, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Northern Jersey Plastic Surgery Center, LLC

  • Plastic Surgery Physician
  • Englewood, NJ
  • NPI 1649357435
  Medicare reassignment Care Compare group NPD Authorized official
• TC Plastic Surgery Corp

  • Plastic and Reconstructive Surgery Physician
  • Englewood, NJ
  • NPI 1013707769
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1962444976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PL STE 405",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314960",
            "telephone_number": "201-225-1811",
            "fax_number": "201-616-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PL STE 405",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314960",
            "telephone_number": "201-225-1811",
            "fax_number": "201-616-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "TROY",
        "middle_name": "EZRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "206666-1",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA0811800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alain Cagaanan
• Pamela G Caine, OTR/L
• Samantha Jean Calhoun, APRN, CRNA
• Francesco Califano, MD
• Kerry J Callahan, LCSW
• Claudia Calle-Alvarez
• Glenda L Calvert, BA
• Caroline Camarena, MSW, LSW
• Felourdes Camay, APN
• Florence L Campbell, APN

• Plastic Surgery Physician in Englewood, NJ
• Providers in Englewood, 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 Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.