Organization Active NPI

Contemporary Plastic Surgery Associates

  • Plastic Surgery Physician
  • East Brunswick, NJ
National Provider Identifier
1992757082
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MA43679 Issued in NJ
Legal business name
CONTEMPORARY PLASTIC SURGERY ASSOCIATES
Practice address
579A Cranbury Rd
Suite 202
East Brunswick, NJ 08816-5426
Phone
(732) 254-1919
Fax
(732) 254-0703
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jackie Kertis
Title
Office Manager
Phone
(732) 254-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X MA43679 NJ Primary

Addresses

Primary practice location

579A Cranbury Rd
Suite 202
East Brunswick, NJ 08816-5426

Mailing address

579A Cranbury Rd
Suite 202
East Brunswick, NJ 08816-5426
Phone (732) 254-1919

National Provider Directory

National Provider Directory

Locations

579A Cranbury Rd
Ste 202
East Brunswick, NJ 08816
Phone (732) 253-4404

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992757082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD",
            "address_2": "SUITE 202",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-254-1919",
            "fax_number": "732-254-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD",
            "address_2": "SUITE 202",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-254-1919",
            "fax_number": "732-254-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY PLASTIC SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERTIS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-254-1919"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "MA43679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.