METAMORPHOSIS PLASTIC SURGERY NPI 1588877823

NPI Information

  • NPI: 1588877823
  • Provider Name: METAMORPHOSIS PLASTIC SURGERY
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Doing Business As: JOSEPH A. RACANELLI D.O.
  • Address: 42 BROOK DRIVE SOUTH
    NEW VERNON, NJ
    ZIP 07976
  • Phone: (888) 409-0801

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NPI Details

METAMORPHOSIS PLASTIC SURGERY is a plastic and reconstructive surgery surgery in New Vernon, NJ. The provider is a surgeon who specializes in plastic and reconstructive surgery. METAMORPHOSIS PLASTIC SURGERY NPI is 1588877823. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Joseph A. Racanelli D.o..

The provider's business location address is:

42 BROOK DRIVE SOUTH
NEW VERNON, NJ
ZIP 07976
Phone: (888) 409-0801
Fax: (973) 425-0453

The provider's authorized official is Joseph A Racanelli .
The authorized official title is Physician And Owner and has the following contact phone number (888) 409-0801.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 5/21/2020.

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 SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1055433MEDICAIDNEW JERSEY
2$$$$$$$$$OTHERSOCIAL SECURITY
302586556MEDICAIDNEW YORK

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: 11/21/2025

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