AESTHETIC AND SURGICAL SPECIALIST, PC; NPI #1669355020

Contact Information

AESTHETIC AND SURGICAL SPECIALIST, PC

401 HAMBURG TPKE STE 204
WAYNE, NJ 07470-2139

Phone: 201-485-1243
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for AESTHETIC AND SURGICAL SPECIALIST, PC

NPI Number	`1669355020`
LBN Legal business name	AESTHETIC AND SURGICAL SPECIALIST, PC
Authorized official	CARISSA VAZQUEZ - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/30/2025
Last updated	07/30/2025 - About 10 months ago
Identifiers	n/a

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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AESTHETIC AND SURGICAL SPECIALIST, PC

Contact Information

Specialty

Surgical

NPI Profile & details for AESTHETIC AND SURGICAL SPECIALIST, PC

Reviews for AESTHETIC AND SURGICAL SPECIALIST, PC