AESTHETIC FACIAL PLASTIC SURGERY CENTER, INC. – NPI #1619163706
Plastic Surgery

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.

AESTHETIC FACIAL PLASTIC SURGERY CENTER, INC. is a plastic surgeon located in MEDIA, PA. NPPES has assigned the NPI number 1619163706 to AESTHETIC FACIAL PLASTIC SURGERY CENTER, INC. on September 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2082S0099X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AESTHETIC FACIAL PLASTIC SURGERY CENTER, INC. below.

NPI Profile for
AESTHETIC FACIAL PLASTIC SURGERY CENTER, INC.

NPI Number
1619163706
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AESTHETIC FACIAL PLASTIC SURGERY CENTER, INC.
Primary location
101 CHESLEY DR
GEORGTOWN BUILDING
MEDIA, PA 19063-1761
Phone: (610) 565-6230 Fax: (570) 386-3130
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GERALDINE MALLOY
CREDENTIALING SPECIALIST
Phone: (570) 386-2366
Updated
Identifiers

Identifiers for AESTHETIC FACIAL PLASTIC SURGERY CENTER, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE LICENSEPAMD068106L
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2082S0099X
- Plastic Surgery / Plastic Surgery Within the Head and Neck (Primary)
PA MD068106L

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.