SR PLASTIC SURGERY PC – NPI #1356805402
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

SR PLASTIC SURGERY PC is a surgeon located in EAST BRUNSWICK, NJ. NPPES has assigned the NPI number 1356805402 to SR PLASTIC SURGERY PC on January 23, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 7 years ago on Sep 20, 2019. 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 SR PLASTIC SURGERY PC below.

NPI Profile for
SR PLASTIC SURGERY PC

NPI Number
1356805402
Enumeration Date

(more than 7 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
SR PLASTIC SURGERY PC
Primary location
2 CORNWALL DR
UNIT B2
EAST BRUNSWICK, NJ 08816
Phone: (617) 233-9928 Fax:
Mailing address
9 MOUNTHAVEN DR
LIVINGSTON, NJ 07039-2711
Phone: (617) 233-9928 Fax:
Organization Subpart
No
Authorized Official
KANDICE KING
CREDENTIALING SPECIALIST
Phone: (847) 228-3303
Updated
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)

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.