COSMETIC SURGERY SPECIALISTS (NPI# 1568529055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568529055 |
| Entity Type | Organization |
| Organization Name | COSMETIC SURGERY SPECIALISTS |
| Practice Address |
1203 Langhorne Newtown Rd St. Claire Building Suite 120 Langhorne PA 19047-1233 |
| Practice Telephone | 2157509400 |
| Practice Fax Number | 2157507400 |
| Mailing Telephone | 2157509400 |
| Mailing Fax Number | 2157507400 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | ALAN B BRACKUP (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2157509400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
========= | PA | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | ========= | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PERSONAL CHOICE | 409559 | 01 |
| PA | AETNA PPO | 5114215 | 01 |
| PA | PABS HIGHMARK | 409559 | 01 |
| PA | KEYSTONE | 0177533000 | 01 |
| PA | AETNA HMO | 2240312 | 01 |
| Street Address |
1203 LANGHORNE NEWTOWN RD ST. CLAIRE BUILDING SUITE 120 |
| City | LANGHORNE |
| State | PA |
| Zip Code | 19047-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216443 | David S Tannenbaum | Obstetrics & Gynecology | 1203 Langhorne Newtown Rd, #225, St Clair Bldg, Langhorne, PA 19047-1237 | 2005-06-22 |
| 1881176881 | Brittany Baron | Nurse Practitioner | 1203 Langhorne Newtown Rd, Langhorne, PA 19047-1209 | 2018-09-05 |
| 1689028052 | Mercer Bucks Orthopaedics, P.C. | Durable Medical Equipment & Medical Supplies | 1203 Langhorne Newtown Rd, Suite 220, Langhorne, PA 19047-1209 | 2016-04-21 |
| 1215301023 | Maureen Gallagher | Nurse Practitioner | 1203 Langhorne Newtown Rd, Suite 125, Langhorne, PA 19047-1209 | 2015-11-17 |
| 1326435645 | Nicole Haslett | Obstetrics & Gynecology | 1203 Langhorne Newtown Rd, Langhorne, PA 19047-1209 | 2015-04-24 |
| 1306233895 | Langhorne Physician Services | Obstetrics & Gynecology | 1203 Langhorne Newtown Rd, Suite 238, Langhorne, PA 19047 | 2015-04-22 |
| 1477960144 | Patricia Ann Kennedy | Nurse Practitioner | 1203 Langhorne Newtown Rd, #225, Langhorne, PA 19047-1209 | 2014-07-15 |
| 1912322025 | Stephen Gunnells | Physical Therapy Assistant | 1203 Langhorne Newtown Rd, Suite 220, Langhorne, PA 19047-1209 | 2014-02-26 |
| 1326307117 | Ekata H Rushi | Physician Assistant | 1203 Langhorne Newtown Rd, Suite 138, Langhorne, PA 19047-1209 | 2012-05-14 |
| 1508139643 | Soni Eye Associates, LLC | Ophthalmology | 1203 Langhorne Newtown Rd, Suite 228, Langhorne, PA 19047-1209 | 2012-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799733 | Traci Anne Lordan | Counselor | 1717 Newtown-langhorne Rd Suite 304, Langhorne, PA 19047 | 2020-10-29 |
| 1407475973 | Midiia Shuman | Student in an Organized Health Care Education/Training Program | 1201 Langhorne Newtown Rd., St. Mary Medical Center, Langhorne, PA 19047 | 2020-04-14 |
| 1750923579 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Road Suite 215, Langhorne, PA 19047 | 2019-10-14 |
| 1487211173 | Avantika Gul Israni | Student in an Organized Health Care Education/Training Program | 1201 Langhorne-newtown Road, St. Mary Medical Center, Langhorne, PA 19047 | 2019-05-29 |
| 1861955155 | Jordesha Mariska Hodge | Student in an Organized Health Care Education/Training Program | 1201 Langhorne - Newton Rd., Langhorne, PA 19047 | 2019-04-12 |
| 1932673456 | Kenneth Nagy | Physical Therapy Assistant | 310 E Winchester Ave, Langhorne, PA 19047 | 2019-01-17 |
| 1104398635 | Woods Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Allgair Cottage, 96 Oakwood Doive, Langhorne, PA 19047 | 2018-12-21 |
| 1356819411 | Mitchell Perry | Physician Assistant | 1203 Newtown-langhorne Rd, #220, Langhorne, PA 19047 | 2018-11-07 |
| 1609353291 | Eye and Facial Plastic Surgery Consultants LLC | Ophthalmology | 1203 Newtown-langhorne Road, Suite 120, Langhorne, PA 19047 | 2018-07-26 |
| 1760969992 | Your Orthodontist | Dentist | 586 Middletown Blvd Ste C10, Langhorne, PA 19047 | 2018-07-20 |
| Find all providers in zip 19047 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003239054 | Oxygen Oasis Hyperbaric Wellness Center, LLC | Clinic/Center | 848 Town Center Dr, Langhorne, PA 19047-1748 | 2014-01-28 |
| 1316349046 | Rediclinic of Pa, LLC | Clinic/Center | 96 N Flowers Mill Rd, Langhorne, PA 19047-1601 | 2014-09-25 |
| 1881096584 | Rediclinic | Clinic/Center | 1 Summit Square, Ste. A, Langhorne, PA 19047-1084 | 2014-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820754 | The Nava Center, Inc. | Clinic/Center | 1334 S 18th St, Philadelphia, PA 19146-4647 | 2020-11-01 |
| 1629680319 | Innovative Pediatric Therapy Services LLC | Clinic/Center | 713 Bridge St Ste 23, Selinsgrove, PA 17870-1250 | 2020-08-24 |
| 1376161828 | Cerner Health Connections, Inc | Clinic/Center | 1234 West Chester Pike, West Chester, PA 19382-5688 | 2020-07-10 |
| 1811514417 | Care Counseling & Children's Services LLC | Clinic/Center | 872 Pennsylvania St, Whitehall, PA 18052-7968 | 2020-06-30 |
| 1629694880 | Lancaster General Medical Group | Clinic/Center | 2112 Harrisburg Pike Ste 323, Lancaster, PA 17601-2644 | 2020-06-23 |
| 1225653496 | Aeo Pitt | Clinic/Center | 77 Hot Metal St, Pittsburgh, PA 15203-2382 | 2020-06-12 |
| 1174147656 | Paul Witt Do Pllc | Clinic/Center | 59 East Carey Street, Plains, PA 18705-1870 | 2020-06-01 |
| 1306469309 | Everest Pace Center Inc | Clinic/Center | 2602 W 9th St Ste 100, Chester, PA 19013-2089 | 2020-05-26 |
| 1225650930 | The Modern Country Doctor, LLC | Clinic/Center | 23 Industrial Blvd Ste D, Paoli, PA 19301-1601 | 2020-05-15 |
| 1013543099 | Rediclinic of Pa, LLC | Clinic/Center | 5707 Easton Rd, Pipersville, PA 18947-1823 | 2020-03-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COSMETIC SURGERY SPECIALISTS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.