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Contact Information

IMAGE PLASTIC SURGERY LLC
140 ROUTE 17 NORTH
SUITE 105
PARAMUS, NJ07652
 Phone: 201-225-1101
 Fax: 201-225-1106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for IMAGE PLASTIC SURGERY LLC

NPI # 1548399082
LBN Legal business name IMAGE PLASTIC SURGERY LLC
Authorized official MARTIN MOSKOVITZ - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2007
Last updated 10/17/2018 - About 8 years ago
Identifiers
NJ License # 25MA05943000
NJ Medicaid 0027740
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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