NJ FACE DOCTOR PC
NPI 1659016293
Otolaryngology - Facial Plastic Surgery in Secaucus, NJ

Active since April 28, 2022
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094(917) 660-6644(866) 401-0389 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nj Face Doctor Pc NPPES

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

NJ FACE DOCTOR PC (NPI 1659016293) is a healthcare organization registered as a facial plastic surgery in Secaucus, New Jersey and active in the NPI registry since April 2022. The organization lists Tal Dagan, President, as its authorized official.

NPPES Registry Identity

NPI1659016293
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameNJ FACE DOCTOR PC
Location Address55 MEADOWLANDS PKWYSecaucus, NJ 07094-2977
Mailing Address265 Purdue CtParamus, NJ 07652-1642 · (917) 660-6644 · Fax (866) 401-0389
Fax(866) 401-0389
Organization SubpartNo
Authorized OfficialTal DaganPresident · (917) 660-6644
Enumeration DateApril 28, 2022
NPPES CertifiedApril 28, 2022
✔ NPI 1659016293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Definition
An otolaryngologist who specializes in facial plastic surgery.
55 MEADOWLANDS PKWY, Secaucus, NJ 07094

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nj Face Doctor Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nj Face Doctor PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Otolaryngology
NPI 1013997980
420 MADISON AVE SUITE 503
New York, NY 10017
(212) 585-3242
✔ PECOS✔ Accepts Medicare5.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nj Face Doctor PC's NPI number?

The NPI number for Nj Face Doctor PC is 1659016293. It was assigned to this organization in the NPPES registry on April 28, 2022.

Where is Nj Face Doctor PC located?

Nj Face Doctor PC is located at 55 Meadowlands Pkwy, Secaucus, NJ 07094. The listed phone number is (917) 660-6644.

What is Nj Face Doctor PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Nj Face Doctor PC enrolled in Medicare?

Yes. Nj Face Doctor PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nj Face Doctor PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Nj Face Doctor PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nj Face Doctor PC was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.