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PALISADE PLASTIC SURGERY ASSOCIATES PC NPI 1265591556


NPI Information

NPI: 1265591556
Provider Name: PALISADE PLASTIC SURGERY ASSOCIATES PC

Former Legal Business Name: PAUL ROSENBERG MD PC

Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

CLIA Number: 31D1075211

Address:
1567 PALISADE AVE 3RD FLOOR
FORT LEE, NJ
ZIP 07024
Phone: (201) 585-2388
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PALISADE PLASTIC SURGERY ASSOCIATES PC is a plastic and reconstructive surgery surgery in Fort Lee, NJ. The provider is a surgeon who specializes in plastic and reconstructive surgery. PALISADE PLASTIC SURGERY ASSOCIATES PC NPI is 1265591556. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Paul Rosenberg Md Pc.

The provider's business location address is:

1567 PALISADE AVE 3RD FLOOR
FORT LEE, NJ
ZIP 07024-923
Phone: (201) 585-2388
Fax: (201) 947-3860

The provider's authorized official is Paul H Rosenberg .
The authorized official title is Managing Physician and has the following contact phone number (201) 585-2388.

The CLIA number assigned to this NPI record is 31D1075211 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 8/22/2020.


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
12086S0122XSurgeryPlastic and Reconstructive SurgeryMA58683NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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