METAMORPHOSIS PLASTIC SURGERY (NPI# 1588877823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588877823 |
| Entity Type | Organization |
| Organization Name | METAMORPHOSIS PLASTIC SURGERY |
| Other Organization Name | JOSEPH A. RACANELLI D.O. |
| Practice Address |
42 Brook Drive South New Vernon NJ 07976 |
| Mailing Address |
Po Box 130 New Vernon NJ 07976-0130 |
| Practice Telephone | 8884090801 |
| Practice Fax Number | 9734250453 |
| Mailing Telephone | 9735341220 |
| Mailing Fax Number | 9734250453 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | DR. JOSEPH A RACANELLI JR. (PHYSICIAN AND OWNER) |
| Authorized Official Telephone | 8884090801 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 055433 | 05 | |
| SOCIAL SECURITY | $$$$$$$$$ | 01 | |
| NY | 02586556 | 05 |
| Other Name | Type Code |
|---|---|
| Joseph A. Racanelli D.O. | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | METAMORPHOSIS PLASTIC SURGERY LIMITED LIABILITY PARTNERSHIP | P.o. Box 130, New Vernon, New Jersey 07976-0130 |
| Street Address |
42 BROOK DRIVE SOUTH |
| City | NEW VERNON |
| State | NJ |
| Zip Code | 07976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770705584 | Robert William Morrison | Orthopaedic Surgery | 77 Millbrook Road, New Vernon, NJ 07976 | 2007-05-02 |
| 1093201220 | New Vernon Chiropractic Center LLC | Chiropractor | 4 Village Road, New Vernon, NJ 07976-0009 | 2018-07-11 |
| 1427504059 | Donna O'connor | Social Worker | 97 Bailey's Mill Road, New Vernon, NJ 07976-0047 | 2016-09-01 |
| 1699744219 | Lorne Sheren | Anesthesiology | 1 Miller Rd, New Vernon, NJ 07976-0404 | 2006-03-16 |
| 1285759324 | Township of Harding | Public Health or Welfare | 21 Blue Mill Road, New Vernon, NJ 07976-0666 | 2007-03-20 |
| 1982939245 | Jason Frigerio | Acupuncturist | 4 Village Rd, New Vernon, NJ 07976-9719 | 2009-10-05 |
| 1376712737 | Adina Sonners | Radiology | 17 Wildlife Run, New Vernon, NJ 07976-9720 | 2008-02-29 |
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356805402 | Sr Plastic Surgery PC | Surgery | 2 Cornwall Dr, Unit B2, East Brunswick, NJ 08816 | 2019-01-23 |
| 1639655871 | Center for Plastic Cosmetic and Hand Surgery PC | Surgery | 127 Church Rd Ste 100, Marlton, NJ 08053-9402 | 2018-07-11 |
| 1265745111 | Jain Joseph | Surgery | 1 Diamond Hill Rd Fl 1, Berkeley Heights, NJ 07922 | 2010-07-21 |
| 1669631362 | Atlantic Plastic and Hand Surgery, Pa | Surgery | 2 Route 27, Suite 508, Edison, NJ 08820-3961 | 2008-06-06 |
| 1790824589 | Michael Rosen Md PC | Surgery | 1114 Hooper Ave, Toms River, NJ 08753-8325 | 2007-02-06 |
| 1447319777 | Paul H Rosenberg | Surgery | 1567 Palisade Ave 3rd Floor, Fort Lee, NJ 07024-6923 | 2006-12-06 |
| 1982783890 | John Mesa | Surgery | 200 S Orange Ave Ste 255, Livingston, NJ 07039 | 2006-11-02 |
| 1538264676 | Jamsheed Khodadad Najmi | Surgery | 8 Woodstock Ln, Annandale, NJ 08801-3425 | 2006-09-13 |
| 1790893998 | Paul Joseph Vallone | Surgery | 369 West Blackwell St, Dover, NJ 07801-2545 | 2006-08-28 |
| 1437186590 | William N Onwuka | Surgery | 177 N Dean St Ph Floor, Penthouse Floor, Englewood, NJ 07631-2533 | 2006-06-26 |
| Find all providers with the same taxonomy | ||||
| City | NEW VERNON |
| Zip Code | 07976 |
Please comment or provide details below to improve the information on METAMORPHOSIS PLASTIC SURGERY.
| 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.