SR PLASTIC SURGERY PC


Address: 2 Cornwall Dr, Unit B2, East Brunswick, NJ 08816
Phone: 6172339928

SR PLASTIC SURGERY PC (NPI# 1356805402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356805402
Entity Type Organization
Organization Name SR PLASTIC SURGERY PC
Practice Address 2 Cornwall Dr
Unit B2
East Brunswick
NJ 08816
Mailing Address 9 Mounthaven Dr
Livingston
NJ 07039-2711
Practice Telephone 6172339928
Mailing Telephone 6172339928
Enumeration Date 2019-01-23
Last Update Date 2019-09-20
Authorized Official Name KANDICE KING (CREDENTIALING SPECIALIST)
Authorized Official Telephone 8472283303
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians

Office Location

Street Address 2 CORNWALL DR
UNIT B2
City EAST BRUNSWICK
State NJ
Zip Code 08816

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1437718855 Optimum Heart & Medical Care LLC Internal Medicine 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 2019-06-10
1083199012 Kami Ives Speech-Language Pathologist 431 Cranbury Rd., East Brunswick, NJ 08816 2018-09-25
1316442460 Emily Katherine Smith Physician Assistant 418 Route 18, East Brunswick, NJ 08816 2018-03-29
1942713649 Apluscare, LLC Community/Behavioral Health 3105 Commons Dr, East Brunswick, NJ 08816 2017-11-16
1093234338 Larissa Rachel Elk Occupational Therapist 11 Mayfair Court, East Brunswick, NJ 08816 2017-09-19
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Find all providers in zip 08816

Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912906835 Janet Patricia Parler Surgery 20 Albemarle Rd, East Brunswick, NJ 08816-4213 2005-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639655871 Center for Plastic Cosmetic and Hand Surgery PC Surgery 127 Church Rd Ste 100, Marlton, NJ 08053-9402 2018-07-11
1265745111 Jain Joseph Surgery 1 Diamond Hill Rd Fl 1, Berkeley Heights, NJ 07922 2010-07-21
1669631362 Atlantic Plastic and Hand Surgery, Pa Surgery 2 Route 27, Suite 508, Edison, NJ 08820-3961 2008-06-06
1588877823 Metamorphosis Plastic Surgery Surgery 42 Brook Drive South, New Vernon, NJ 07976 2007-05-07
1790824589 Michael Rosen Md PC Surgery 1114 Hooper Ave, Toms River, NJ 08753-8325 2007-02-06
1447319777 Paul H Rosenberg Surgery 1567 Palisade Ave 3rd Floor, Fort Lee, NJ 07024-6923 2006-12-06
1982783890 John Mesa Surgery 200 S Orange Ave Ste 255, Livingston, NJ 07039 2006-11-02
1538264676 Jamsheed Khodadad Najmi Surgery 8 Woodstock Ln, Annandale, NJ 08801-3425 2006-09-13
1790893998 Paul Joseph Vallone Surgery 369 West Blackwell St, Dover, NJ 07801-2545 2006-08-28
1437186590 William N Onwuka Surgery 177 N Dean St Ph Floor, Penthouse Floor, Englewood, NJ 07631-2533 2006-06-26
Find all providers with the same taxonomy

Competitor

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City EAST BRUNSWICK
Zip Code 08816

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Dataset Information

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.

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