RIVERSIDE PLASTIC SURGERY & SINUS CENTER LLC
NPI 1376592196
Clinic/Center - Ambulatory Surgical in Red Bank, NJ

Q: What is Riverside Plastic Surgery & Sinus Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since May 09, 2006CLIA 31D0976473 · Waiver

70 E FRONT ST, SUITE 3, RED BANK, NJ 07701(732) 747-5300(732) 747-9922 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Riverside Plastic Surgery & Sinus Center Llc NPPES

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

RIVERSIDE PLASTIC SURGERY & SINUS CENTER LLC (NPI 1376592196) is a healthcare organization registered as an ambulatory surgical in Red Bank, New Jersey and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 3, 2028 and lists Louise Kindya, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376592196

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameRIVERSIDE PLASTIC SURGERY & SINUS CENTER LLC

Location Address70 E FRONT ST, SUITE 3Red Bank, NJ 07701-1851

Mailing Address70 E Front St, Suite 3Red Bank, NJ 07701-1851 · (732) 747-5300 · Fax (732) 747-9922

Phone(732) 747-5300

Fax(732) 747-9922

Organization SubpartNo

Authorized OfficialLouise KindyaAdministrator · (732) 747-5300

Enumeration DateMay 9, 2006

Last NPPES UpdateJuly 21, 2022

✔ NPI 1376592196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

70 E FRONT ST, Red Bank, NJ 07701

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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riverside Plastic Surgery & Sinus Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew JerseyEnrollment IDO20130523000252Non-DME Part B · Ambulatory Surgical CenterDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0976473

Riverside Plastic Surgery & Sinus Ctr/ Frank J Scaccia MD · Red Bank, NJ

Active · expires Aug 3, 2028

CLIA Number31D0976473

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateAugust 4, 2026

Certificate Expiration DateAugust 3, 2028

Laboratory DirectorFrank J. Scaccia

Laboratory Phone(732) 747-5300

Laboratory LocationRiverside Plastic Surgery & Sinus Ctr/ Frank J Scaccia MD70 East Front Street 3rd Floor Attn Louise Zappola, Red Bank, NJ 07701

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUSAN D'EMIC OD

Optometrist