New Jersey Plastic Surgery
New Jersey Plastic Surgery is a healthcare organization registered as Plastic Surgery Physician in Montclair, NJ, holding Type 2 (organization) NPI 1073284675 since 2021. The authorized official on file is Shirlee Wilson, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073284675 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | New Jersey Plastic Surgery |
| Practice address | 29 PARK ST, Montclair, NJ, 07042 |
| Phone | 9735092000 |
| Enumeration date | 2021-09-23 |
| Last updated in NPPES | 2021-09-28 |
Authorized official
| Name | Shirlee Wilson |
|---|---|
| Title | Office Manager |
| Phone | 9735092000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208200000X | Plastic Surgery Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427342971 | Medicaid | TX | — |
| 1942563564 | Medicaid | NJ | — |
| 1164599262 | Medicaid | NJ | — |
Copy-ready billing details
Provider: New Jersey Plastic Surgery NPI: 1073284675 Taxonomy: 208200000X (Plastic Surgery Physician) Address: 29 PARK ST, Montclair, NJ, 07042
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134231889 | Andrea Cacciarelli | Individual | Plastic Surgery Physician | Montclair, NJ |
| 1164599262 | Barry Dibernardo | Individual | Plastic and Reconstructive Surgery Physician | Montclair, NJ |
| 1386861177 | Harry Haramis | Individual | Plastic and Reconstructive Surgery Physician | Montclair, NJ |
| 1063720647 | Andrea Cacciarelli MD LLC | Organization | Plastic and Reconstructive Surgery Physician | Montclair, NJ |
Verify this record
Cross-check NPI 1073284675 against the authoritative CMS record: view New Jersey Plastic Surgery on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for New Jersey Plastic Surgery?
What is the NPI number for New Jersey Plastic Surgery?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-09-28.