PERSONAL PLASTIC SURGERY LLC
NPI 1710146766
Specialist in West Orange, NJ

Active since June 05, 2008
383 NORTHFIELD AVE, WEST ORANGE, NJ 07052(973) 324-9455 Get Directions Write a Review

NPPES record last updated: July 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Personal Plastic Surgery Llc NPPES

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

PERSONAL PLASTIC SURGERY LLC (NPI 1710146766) is a healthcare organization registered as a specialist in West Orange, New Jersey and active in the NPI registry since June 2008. The organization lists Sanjay Lalla, President, as its authorized official.

NPPES Registry Identity

NPI1710146766
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePERSONAL PLASTIC SURGERY LLC
Location Address383 NORTHFIELD AVEWest Orange, NJ 07052-3024
Mailing Address383 Northfield AveWest Orange, NJ 07052-3024 · (973) 324-9455
Organization SubpartNo
Authorized OfficialSanjay LallaPresident · (973) 324-9455
Enumeration DateJune 5, 2008
Last NPPES UpdateJuly 13, 2024
NPPES CertifiedJuly 13, 2024
✔ NPI 1710146766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · MA58573
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.
383 NORTHFIELD AVE, West Orange, NJ 07052

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)

Personal Plastic Surgery Llc 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 Personal Plastic Surgery LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1295797256
383 NORTHFIELD AVE
West Orange, NJ 07052
(973) 324-9455
✔ PECOS✔ Accepts MedicareSame address

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 Personal Plastic Surgery LLC's NPI number?

The NPI number for Personal Plastic Surgery LLC is 1710146766. It was assigned to this organization in the NPPES registry on June 5, 2008.

Where is Personal Plastic Surgery LLC located?

Personal Plastic Surgery LLC is located at 383 Northfield Ave, West Orange, NJ 07052. The listed phone number is (973) 324-9455.

What is Personal Plastic Surgery LLC's specialty?

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

Is Personal Plastic Surgery LLC enrolled in Medicare?

Yes. Personal Plastic Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Personal Plastic Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Personal Plastic Surgery LLC. 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 Personal Plastic Surgery LLC was last updated on July 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.