Active NPIOrganization

Mona Lisa Cosmetic Surgery Center

Otolaryngology, Otolaryngology/Facial Plastic Surgery in Wayne, New Jersey

NPI Number1770801086
Practice location
1176 Hamburg Tpke, Wayne, NJ 07470-5069
Fax
973-692-9301
Last updated
May 11, 2010

Mona Lisa Cosmetic Surgery Center is a healthcare organization based in Wayne, NJ. Mona Lisa Cosmetic Surgery Center practices in Wayne, NJ. The NPI Number for Mona Lisa Cosmetic Surgery Center is 1770801086 and holds a License No. MA065731 (NJ). The current practice location address for Mona Lisa Cosmetic Surgery Center is 1176 Hamburg Tpke, Wayne, NJ 07470-5069 and can be reached out via phone at 973-692-9300 and via fax at 973-692-9301.

Provider Profile Details

NPI Number
1770801086
Provider Name
Mona Lisa Cosmetic Surgery Center
Provider Entity Type
Organization
Address
1176 Hamburg Tpke, Wayne, NJ 07470-5069
Phone Number
973-692-9300
Fax Number
973-692-9301
Organization Subpart
No
Authorized Official
Ramtin Kassir, MD, FACS · Physician · 973-692-9300
Provider Enumeration Date
May 11, 2010
Last Update Date
May 11, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1176 Hamburg Tpke
Wayne, NJ 07470-5069
City
Wayne
Zip
07470-5069
Phone Number
973-692-9300
Fax Number
973-692-9301
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
1176 Hamburg Tpke
Wayne, NJ 07470-5069
City
Wayne
State
NJ
Zip
07470-5069
Phone Number
973-692-9300
Fax Number
973-692-9301

License Information

License State (1)
NJ
Taxonomy (1)
Dermatology · 207N00000X
License Number (2)
MA065731
License State (2)
NJ
License Number (3)
MA065731
License State (3)
NJ
Taxonomy (3)
Otolaryngology, Otolaryngology/Facial Plastic Surgery · 207YX0905X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mona Lisa Cosmetic Surgery Center?

The NPI number of Mona Lisa Cosmetic Surgery Center is 1770801086. It was assigned on May 11, 2010 and is currently active in the NPPES registry.

What is the specialty of Mona Lisa Cosmetic Surgery Center?

Mona Lisa Cosmetic Surgery Center is registered under the primary taxonomy Otolaryngology, Otolaryngology/Facial Plastic Surgery (code 207YX0905X), licensed in NJ under license number MA065731.

Where does Mona Lisa Cosmetic Surgery Center practice?

The practice location is 1176 Hamburg Tpke, Wayne, NJ 07470-5069. The office can be reached at 973-692-9300 (phone) or 973-692-9301 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770801086 directly on the NPPES registry website.

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