Provider Demographics
NPI:1861518730
Name:ASSOCIATES IN PLASTIC AESTHETIC SURGERY
Entity type:Organization
Organization Name:ASSOCIATES IN PLASTIC AESTHETIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:MS
Authorized Official - First Name:VIDALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:APONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-654-6540
Mailing Address - Street 1:522 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2116
Mailing Address - Country:US
Mailing Address - Phone:908-654-6540
Mailing Address - Fax:908-654-6504
Practice Address - Street 1:522 E BROAD ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2116
Practice Address - Country:US
Practice Address - Phone:908-654-6540
Practice Address - Fax:908-654-6504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1458001Medicaid
NJ2528002Medicaid
NJ0977209Medicaid
NJ0857807Medicaid
NJ057100Medicare ID - Type Unspecified
NJ0857807Medicaid
NJC56962Medicare UPIN
NJC56960Medicare UPIN
NJ1458001Medicaid
NJC53493Medicare UPIN
NJH21467Medicare UPIN
NJ044929Medicare ID - Type Unspecified
NJ138300Medicare ID - Type Unspecified
NJ0977209Medicaid