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SR PLASTIC SURGERY PC
NPI 1356805402
Surgery - Plastic and Reconstructive Surgery in East Brunswick, NJ

Active since January 23, 2019
2 CORNWALL DR, UNIT B2, EAST BRUNSWICK, NJ 08816(617) 233-9928 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2019, Jan 23, 2019 (2 updates tracked since 2019).

About Sr Plastic Surgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SR PLASTIC SURGERY PC (NPI 1356805402) is a healthcare organization registered as a plastic and reconstructive surgery in East Brunswick, New Jersey and active in the NPI registry since January 2019. The organization lists Kandice King, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1356805402
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameSR PLASTIC SURGERY PC
Location Address2 CORNWALL DR, UNIT B2East Brunswick, NJ 08816
Mailing Address9 Mounthaven DrLivingston, NJ 07039-2711 · (617) 233-9928
Phone(617) 233-9928
Organization SubpartNo
Authorized OfficialKandice KingCredentialing Specialist · (847) 228-3303
Enumeration DateJanuary 23, 2019
Last NPPES UpdateSeptember 20, 20192 updates tracked since enumeration
✔ NPI 1356805402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
2 CORNWALL DR, East Brunswick, NJ 08816
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sr Plastic Surgery PC's NPI number?

The NPI number for Sr Plastic Surgery PC is 1356805402. It was assigned to this organization in the NPPES registry on January 23, 2019.

Where is Sr Plastic Surgery PC located?

Sr Plastic Surgery PC is located at 2 Cornwall Dr Unit B2, East Brunswick, NJ 08816. The listed phone number is (617) 233-9928.

What is Sr Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Sr Plastic Surgery PC was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.