Organization
THE PLASTIC SURGERY CENTER
Active
Other names
The Plastic Surgery Center, PA
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER HOTH (CREDENTIALING COORDINATOR)
(732) 741-0970
Entity
Organization
Contact information
Practice address
331 NEWMAN SPRINGS RD STE 200, RED BANK, NJ 07701-5691
(732) 426-3420
Mailing address
200 SCHULZ DR STE 2, RED BANK, NJ 07701-6745
(732) 426-3420
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000952
BCBS OF NJ
—
01
—
113905500
OFFICE OF WORKER'S COMP
—
01
—
31D1027971
CLIA
—
05
—
8272000
—
NJ
01
—
A584143
OXFORD
—
01
—
J21602
HEALTHNET
—
Enumeration date
03/16/2006
Last updated
11/06/2025
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