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PENINSULA PLASTIC SURGERY, P.C.
NPI 1396228995
Specialist in Berlin, MD

Active since September 10, 2018
124 N MAIN ST STE D, BERLIN, MD 21811(410) 546-0464 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2021, Sep 17, 2018, Sep 10, 2018 (3 updates tracked since 2018).

About Peninsula Plastic Surgery, P.c. NPPES

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

PENINSULA PLASTIC SURGERY, P.C. (NPI 1396228995) is a healthcare organization registered as a specialist in Berlin, Maryland and active in the NPI registry since September 2018. The organization maintains a secondary practice location in Ocean City and lists Vincent J Perrotta, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1396228995
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePENINSULA PLASTIC SURGERY, P.C.
Location Address124 N MAIN ST STE DBerlin, MD 21811-1060
Mailing Address314 W Carroll St Ste 1Salisbury, MD 21801-5409 · (410) 546-0464
Phone(410) 546-0464
Organization SubpartNo
Authorized OfficialVincent J PerrottaOwner/president · (410) 546-0464
Enumeration DateSeptember 10, 2018
Last NPPES UpdateAugust 2, 20213 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1396228995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X
124 N MAIN ST STE D, Berlin, MD 21811
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Secondary Practice Location 1

Location 112308 Ocean Gtwy Ste 8Ocean City, MD 21842-9341 · Phone (410) 546-0464

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

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 Peninsula Plastic Surgery, P.C.'s NPI number?

The NPI number for Peninsula Plastic Surgery, P.C. is 1396228995. It was assigned to this organization in the NPPES registry on September 10, 2018.

Where is Peninsula Plastic Surgery, P.C. located?

Peninsula Plastic Surgery, P.C. is located at 124 N Main St Ste D, Berlin, MD 21811. The listed phone number is (410) 546-0464.

What is Peninsula Plastic Surgery, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Peninsula Plastic Surgery, P.C. accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Peninsula Plastic Surgery, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peninsula Plastic Surgery, P.C. was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.