IMAGE PLASTIC SURGERY LLC (NPI# 1548399082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548399082 |
| Entity Type | Organization |
| Organization Name | IMAGE PLASTIC SURGERY LLC |
| Practice Address |
140 Route 17 North Suite 105 Paramus NJ 07652 |
| Practice Telephone | 2012251101 |
| Practice Fax Number | 2012251106 |
| Mailing Telephone | 2012251101 |
| Mailing Fax Number | 2012251106 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2018-10-17 |
| Authorized Official Name | DR. MARTIN JEFFREY MOSKOVITZ (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2017887912 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 25MA05943000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0027740 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427523174 | Image Plastic Surgery LLC | Plastic Surgery | 346 E 51st St Apt 1f, New York, NY 10022-7824 | 2018-10-09 |
| Street Address |
140 ROUTE 17 NORTH SUITE 105 |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407883887 | Michael Charles Distefano | Orthopaedic Surgery | 140 Route 17 North, Suite 255, Paramus, NJ 07652 | 2006-06-28 |
| 1891355137 | Jeffrey Martin Kolb | Physician Assistant | 140 Route 17 North, #255, Paramus, NJ 07652 | 2019-06-18 |
| 1396094934 | Hand & Wrist Surgery of Nj, LLC | Surgery | 140 Route 17 North, Suite 323, Paramus, NJ 07652 | 2012-08-29 |
| 1649414541 | Steven Ugras | Surgery | 140 Route 17 North, Suite 323, Paramus, NJ 07652 | 2009-04-23 |
| 1629215702 | Ridge Pain Medicine and Anesthesiology, LLC | Specialist | 140 Route 17 North, Suite 204, Paramus, NJ 07652 | 2009-01-12 |
| 1982773545 | Frederick Alexander | Surgery | 140 Route 17 North, Suite 321, Paramus, NJ 07652 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| 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 |
|---|---|---|---|---|
| 1801200472 | Aydin Plastic Surgery Pa | Plastic Surgery | 140 N Rte 17 Ste 200, Paramus, NJ 07652-2829 | 2014-06-11 |
| 1578603080 | Usal Cosmetic Surgery, PC | Plastic Surgery | 305 N Rte 17 Unit 100-a, Usal Cosmetic Surgery, PC, Paramus, NJ 07652-2913 | 2007-02-07 |
| 1417022062 | Emmanuel Alina Lat | Plastic Surgery | 17 Arcadian Way, Suite 103, Paramus, NJ 07652-1245 | 2006-11-21 |
| 1780619171 | Michael Constantin Gartner | Plastic Surgery | 3 Winslow Pl, Paramus, NJ 07652-2709 | 2006-07-12 |
| 1730111535 | Pedro Vieira | Plastic Surgery | 1 W Ridgewood Ave Ste 302, Paramus, NJ 07652-2361 | 2006-07-06 |
| 1043284466 | Paul M Parker | Plastic Surgery | 122 E Ridgewood Ave, Paramus, NJ 07652-4038 | 2006-02-14 |
| 1396732954 | Hakan M Usal | Plastic Surgery | 305 Route 17 South Unit 3-100a, Paramus, NJ 07652 | 2005-09-29 |
| 1295179000 | Emmanuel A. Lat, M.d., F.a.c.s., P.a. | Plastic Surgery | 17 Arcadian Way, Suite 103, Paramus, NJ 07652-1245 | 2013-04-23 |
| 1467794693 | Drew E. Tuckman, M.d., P.a. | Plastic Surgery | 30 W Century Rd, Suite 220, Paramus, NJ 07652-1433 | 2013-03-26 |
| 1356649883 | John T. Cozzone M.d.,p.a. | Plastic Surgery | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2011-03-08 |
| Find all providers in PARAMUS | ||||
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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.