AESTHETIC AND SURGICAL SPECIALIST, PC
NPI 1669355020
Physician Assistant - Surgical in Wayne, NJ

Q: What is Aesthetic And Surgical Specialist, PC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since July 30, 2025

401 HAMBURG TPKE STE 204, WAYNE, NJ 07470(201) 485-1243 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Aesthetic And Surgical Specialist, Pc NPPES

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

AESTHETIC AND SURGICAL SPECIALIST, PC (NPI 1669355020) is a healthcare organization registered as a surgical in Wayne, New Jersey and active in the NPI registry since July 2025. The organization lists Carissa Vazquez, Owner, as its authorized official.

NPPES Registry Identity

NPI1669355020

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameAESTHETIC AND SURGICAL SPECIALIST, PC

Location Address401 HAMBURG TPKE STE 204Wayne, NJ 07470-2139

Mailing Address762 Barnstable LnFranklin Lakes, NJ 07417-2900

Phone(201) 485-1243

Organization SubpartNo

Authorized OfficialCarissa VazquezOwner · (201) 485-1243

Enumeration DateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1669355020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

401 HAMBURG TPKE STE 204, Wayne, NJ 07470

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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

Other Providers at the Same Location NPPES 2

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

DR. DANIEL P FEGHHI MD

Orthopaedic Surgery

401 HAMBURG TPKE STE 204
WAYNE, NJ 07470

Passaic County (973) 606-0643

ORTHAPAEDIC SPECIALIST OF NEW YORK AND NEW JERSERY LLC

Orthopaedic Surgery

401 HAMBURG TPKE STE 204
WAYNE, NJ 07470

Passaic County (973) 360-6064

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 Aesthetic And Surgical Specialist, PC's NPI number?

The NPI number for Aesthetic And Surgical Specialist, PC is 1669355020. It was assigned to this organization in the NPPES registry on July 30, 2025.

Where is Aesthetic And Surgical Specialist, PC located?

Aesthetic And Surgical Specialist, PC is located at 401 Hamburg Tpke Ste 204, Wayne, NJ 07470. The listed phone number is (201) 485-1243.

What is Aesthetic And Surgical Specialist, PC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Aesthetic And Surgical Specialist, PC was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.