DR. KEVIN T NINI (NPI# 1194747964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194747964 |
| Entity Type | Individual |
| Full Name | DR. KEVIN T NINI |
| Credential | M.D. |
| Practice Address |
409 Joyce Kilmer Ave Ste 210 New Brunswick NJ 08901 |
| Mailing Address |
409 Joyce Kilmer Ave Ste 210 New Brunswick NJ 08901-3363 |
| Practice Telephone | 7324180709 |
| Practice Fax Number | 7324180747 |
| Mailing Telephone | 7324180709 |
| Mailing Fax Number | 7324180747 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MA057354 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LICENSE | MA057354 | 01 |
| Street Address |
409 JOYCE KILMER AVE STE 210 |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083630339 | Philip David Wey | Plastic Surgery | 409 Joyce Kilmer Ave Ste 210, New Brunswick, NJ 08901-3363 | 2006-07-13 |
| 1538417787 | Meredith Caflin | Physician Assistant | 409 Joyce Kilmer Ave Ste 210, New Brunswick, NJ 08901 | 2012-08-20 |
| 1770817074 | Amber Autumn Nigam | Physician Assistant | 409 Joyce Kilmer Ave Ste 210, New Brunswick, NJ 08901 | 2009-09-21 |
| 1780834630 | Naveen Kumar Ahuja | Plastic Surgery | 409 Joyce Kilmer Ave Ste 210, New Brunswick, NJ 08901-3363 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083630339 | Philip David Wey | Plastic Surgery | 409 Joyce Kilmer Ave Ste 210, New Brunswick, NJ 08901-3363 | 2006-07-13 |
| 1396004677 | Emily Vankouwenberg | Plastic Surgery | 125 Paterson St Ste 4100, New Brunswick, NJ 08901 | 2012-05-08 |
| 1780834630 | Naveen Kumar Ahuja | Plastic Surgery | 409 Joyce Kilmer Ave Ste 210, New Brunswick, NJ 08901-3363 | 2008-09-29 |
| 1265501969 | Henry Hsia | Plastic Surgery | 125 Paterson St, Suite 4100, New Brunswick, NJ 08901-1962 | 2006-11-07 |
| 1750463428 | Rutgers Health-rwj Plastic Surgery | Plastic Surgery | 125 Paterson St, Suite 4100, New Brunswick, NJ 08901-1962 | 2006-10-20 |
| 1811906704 | Robert M. Olson | Plastic Surgery | 78 Easton Ave, New Brunswick, NJ 08901-1838 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952950388 | Dr Paul Carniol | Plastic Surgery | 33 Overlook Rd Ste 401, Summit, NJ 07901-3564 | 2019-09-09 |
| 1457826109 | Plastic Surgery Practice of Hoboken PC | Plastic Surgery | 1320 Adams St Ste D, Hoboken, NJ 07030-2370 | 2018-10-09 |
| 1871099697 | Park Avenue Clinic, PC | Plastic Surgery | 109 Park Ave, Paterson, NJ 07501-2328 | 2018-04-02 |
| 1336657121 | Sood Center for Plastic Surgery | Plastic Surgery | 199 New Rd Ste 31, Linwood, NJ 08221-2025 | 2018-01-16 |
| 1174044481 | Shwetambara Parakh Md LLC | Plastic Surgery | 106 Grand Ave Ste 490, Englewood, NJ 07631-3596 | 2017-06-28 |
| 1609396449 | Hunterdon Specialty Care PC | Plastic Surgery | 63 Church St Ste 102, Flemington, NJ 08822-1627 | 2017-06-22 |
| 1417493131 | Aculous Medical Solutions LLC | Plastic Surgery | 330 Grand St Ste 100, Hoboken, NJ 07030-2728 | 2017-01-19 |
| 1750832499 | Altman Center for Aesthetic Plastic and Reconstructive Surgery | Plastic Surgery | 570 Sylvan Ave, 2nd Floor, Englewood Cliffs, NJ 07632-3132 | 2016-10-18 |
| 1851845846 | Michael Joseph Mclaughlin | Plastic Surgery | 6 Voorhees Way, Pennington, NJ 08534-4313 | 2016-08-08 |
| 1801200472 | Aydin Plastic Surgery Pa | Plastic Surgery | 140 N Rte 17 Ste 200, Paramus, NJ 07652-2829 | 2014-06-11 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.