THE PLASTIC SURGERY GROUP PA
NPI 1760589972
Plastic Surgery in Montclair, NJ

Active since September 20, 2006
37 NORTH FULLERTON AVE, MONTCLAIR, NJ 07042(973) 233-1933(973) 233-1934 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About The Plastic Surgery Group Pa NPPES

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

THE PLASTIC SURGERY GROUP PA (NPI 1760589972) is a healthcare organization registered as a plastic surgery in Montclair, New Jersey and active in the NPI registry since September 2006. The organization lists Jansy Martinez, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1760589972
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameTHE PLASTIC SURGERY GROUP PA
Location Address37 NORTH FULLERTON AVEMontclair, NJ 07042
Mailing Address37 N Fullerton AveMontclair, NJ 07042-3426 · (973) 233-1933 · Fax (973) 233-1934
Fax(973) 233-1934
Organization SubpartNo
Authorized OfficialJansy MartinezPractice Manager · (973) 233-1933
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 8, 2024
NPPES CertifiedSeptember 24, 2024
✔ NPI 1760589972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
37 NORTH FULLERTON AVE, Montclair, NJ 07042

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Plastic Surgery Group Pa 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 IDO20050621000530Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to The Plastic Surgery Group PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Plastic and Reconstructive Surgery
NPI 1699201145
37 N FULLERTON AVE STE 1
Montclair, NJ 07042
(973) 233-1933
✔ PECOSSame address
Plastic and Reconstructive Surgery
NPI 1780798298
37 N FULLERTON AVE THE PLASTIC SURGERY GROUP
Montclair, NJ 07042
(973) 233-1933
✔ PECOS0.3 mi
Plastic and Reconstructive Surgery
NPI 1659485159
37 N FULLERTON AVE THE PLASTIC SURGERY GROUP
Montclair, NJ 07042
(973) 233-1933
✔ PECOS0.3 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 The Plastic Surgery Group PA's NPI number?

The NPI number for The Plastic Surgery Group PA is 1760589972. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is The Plastic Surgery Group PA located?

The Plastic Surgery Group PA is located at 37 North Fullerton Ave, Montclair, NJ 07042. The listed phone number is (973) 233-1933.

What is The Plastic Surgery Group PA's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is The Plastic Surgery Group PA enrolled in Medicare?

Yes. The Plastic Surgery Group PA is registered in the Medicare PECOS enrollment system.

When is The Plastic Surgery Group PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through The Plastic Surgery Group PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to The Plastic Surgery Group PA. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Plastic Surgery Group PA was last updated on October 8, 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.