SOMERSET COSMETIC & RECONSTRUCTIVE SURGERY LLC NPI 1598700700

NPI Information

  • NPI: 1598700700
  • Provider Name: SOMERSET COSMETIC & RECONSTRUCTIVE SURGERY, LLC
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • CLIA Number: 31D2284581
  • Address: 31 MOUNTAIN BLVD.
    BLDG T
    WARREN, NJ
    ZIP 07059
  • Phone: (908) 222-0070

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NPI Details

SOMERSET COSMETIC & RECONSTRUCTIVE SURGERY, LLC is a plastic surgery in Warren, 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. SOMERSET COSMETIC & RECONSTRUCTIVE SURGERY, LLC NPI is 1598700700. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

31 MOUNTAIN BLVD.
BLDG T
WARREN, NJ
ZIP 07059-648
Phone: (908) 222-0070
Fax: (908) 222-8027

The provider's authorized official is Matthew A Clott .
The authorized official title is Owner and has the following contact phone number (908) 222-0070.

The CLIA number assigned to this NPI record is 31D2284581 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 9/19/2016.

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 Surgery25MA07555400NEW JERSEYYes

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
1I16954MEDICARE UPINNEW JERSEY
2MC01512F10OTHERNEW JERSEYEMPIRE BC/BS
38219869OTHERNEW JERSEYGHI
4P3106486OTHERNEW JERSEYOXFORD
5J33130OTHERNEW JERSEYHEALTHNET
6P00166342OTHERNEW JERSEYUNITED HEALTHCARE RR

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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