Individual provider Active NPI

Renee Carol Comizio, MD, MS

  • Plastic Surgery Physician
  • Morristown, NJ
National Provider Identifier
1982782124
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA08713200 Issued in NJ
Practice address
101 Madison Ave Ste 200
Morristown, NJ 07960-7305
Phone
(973) 775-9248
Fax
(877) 787-9098
NPI assigned
Nov 2, 2006
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 13578 NH
Plastic Surgery Physician 208200000X 25MA08713200 NJ Primary

Addresses

Primary practice location

101 Madison Ave Ste 200
Morristown, NJ 07960-7305

Mailing address

PO Box 122
New Vernon, NJ 07976-0122
Phone (973) 775-9248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
13578NHMDPlastic Surgery Physician
25MA08713200NJMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Northwest New Jersey Medical-Surgical Alliance P C Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1982782124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "NEW VERNON",
            "state": "NJ",
            "postal_code": "079760122",
            "telephone_number": "973-775-9248",
            "fax_number": "877-787-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MADISON AVE STE 200",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607305",
            "telephone_number": "973-775-9248",
            "fax_number": "877-787-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMIZIO",
        "first_name": "RENEE",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NH",
            "license": "13578",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA08713200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.