BASTIDAS PLASTIC SURGERY PC NPI 1053724674

NPI Information

  • NPI: 1053724674
  • Provider Name: BASTIDAS PLASTIC SURGERY, PC
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 599 BROADWAY
    UNIT 1A
    PATERSON, NJ
    ZIP 07514
  • Phone: (610) 442-0992

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NPI Details

BASTIDAS PLASTIC SURGERY, PC is a plastic surgery in Paterson, NJ. The provider is 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. BASTIDAS PLASTIC SURGERY, PC NPI is 1053724674. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

599 BROADWAY
UNIT 1A
PATERSON, NJ
ZIP 07514-969
Phone: (610) 442-0992

The provider's authorized official is Jaime A Bastidas .
The authorized official title is President and has the following contact phone number (212) 734-6621.

The enumeration date for this NPI number is 6/11/2014 and was last updated on 7/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic Surgery25MA07689900NEW JERSEYYes

What is NPI?

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This page was last updated on: 11/21/2025

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