Sr Plastic Surgery PC
NPI 1356805402ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· East Brunswick, NJ
Surgery, Plastic and Reconstructive Surgery in East Brunswick, New Jersey, registered in NPPES in January 2019. The authorized official on file is Kandice King, Credentialing Specialist.
Overview
| NPI | 1356805402 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2019 |
| Last updated in NPPES | Sep 20, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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