Organization Active NPI

Tutela Plastic Surgery PA

  • Surgery Physician
  • West Orange, NJ
National Provider Identifier
1962812842
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA09369900 Issued in NJ
Legal business name
TUTELA PLASTIC SURGERY PA
Practice address
347 Mount Pleasant Ave
Suite #101
West Orange, NJ 07052-2744
Phone
(973) 727-9275
Fax
(973) 629-1707
NPI assigned
May 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Dr. John Paul Paul Tutela, MD
Title
Owner
Phone
(917) 359-1034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 25MA09369900 NJ Primary

Addresses

Primary practice location

347 Mount Pleasant Ave
Suite #101
West Orange, NJ 07052-2744

Mailing address

347 Mount Pleasant Ave
Suite #101
West Orange, NJ 07052-2744
Phone (973) 727-9275

National Provider Directory

National Provider Directory

Locations

347 Mount Pleasant Ave
Ste 101
West Orange, NJ 07052
Phone (973) 669-1240

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1962812842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE",
            "address_2": "SUITE #101",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522744",
            "telephone_number": "973-727-9275",
            "fax_number": "973-629-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE",
            "address_2": "SUITE #101",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522744",
            "telephone_number": "973-727-9275",
            "fax_number": "973-629-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUTELA PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "TUTELA",
        "authorized_official_first_name": "JOHN PAUL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-359-1034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA09369900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.