DR. LYLE MARNIN BACK (NPI# 1639172679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639172679 |
| Entity Type | Individual |
| Full Name | DR. LYLE MARNIN BACK |
| Credential | M.D. |
| Practice Address |
1942 Route 70 E Cherry Hill NJ 08003-2118 |
| Practice Telephone | 8567517550 |
| Practice Fax Number | 8567517544 |
| Mailing Telephone | 8567517550 |
| Mailing Fax Number | 8567517544 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/15/2006 |
| NPI Reactivation Date | 2006-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MA046399 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1942 ROUTE 70 E |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08003-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695483 | Yvonne Lee | Registered Nurse | Nbn Group, 2 Pin Oak Lane, Suite 250, Cherry Hill, NJ 08003 | 2020-03-23 |
| 1639717945 | Nancy Sue Epstein | Occupational Therapist | 1817 E. Fireside Court -tools for Healing LLC, Cherry Hill, NJ 08003 | 2019-12-17 |
| 1346885126 | Martin Igoe | Nurse Practitioner | 1865 Rt 70 East, Cherry Hill, NJ 08003 | 2019-11-15 |
| 1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1497229439 | Laura Marozzi | Lactation Consultant, Non-RN | 7 Summer Pl, Cherry Hill, NJ 08003 | 2019-01-12 |
| 1104328319 | Amanda Butto | Counselor | 1930 Marlton Pike E Ste T, Cherry Hill, NJ 08003 | 2018-03-03 |
| 1073043857 | Sara Cox | Behavioral Analyst | 425 Old Orchard Road, Cherry Hill, NJ 08003 | 2017-06-14 |
| 1912433731 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 527 Balsam Rd, Cherry Hill, NJ 08003 | 2017-05-11 |
| 1366978181 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Evans Lane, Cherry Hill, NJ 08003 | 2017-05-11 |
| Find all providers in zip 08003 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811120918 | Steven Larry Davis | Plastic Surgery | 1916 Rt 70 East, Suite 1, Cherry Hill, NJ 08003 | 2009-08-24 |
| 1942336060 | John Eugene Gatti | Plastic Surgery | 409 Kings Hwy S, Cherry Hill, NJ 08034-2512 | 2007-02-25 |
| 1346314051 | Davis Cosmetic Plastic Surgery | Plastic Surgery | 1916 Rt 70 E, Suite One, Cherry Hill, NJ 08003 | 2006-11-17 |
| 1619960325 | Evan S. Sorokin | Plastic Surgery | 1734 Marlton Pike East, Cherry Hill, NJ 08003 | 2005-08-27 |
| 1205285574 | Clinical Health Care Associates of New Jersey, PC | Plastic Surgery | 1865 Marlton Pike E, 2nd Floor Plastic Surgery, Cherry Hill, NJ 08003-2013 | 2016-06-08 |
| 1528421567 | Prestige Institute for Plastic Surgery, P.C. | Plastic Surgery | 51 Haddonfield Rd, Suite 145, Cherry Hill, NJ 08002-4801 | 2016-03-29 |
| 1235260035 | Gary Marc Brownstein | Plastic Surgery | 102 Browning Ln, Building A Suite 1, Cherry Hill, NJ 08003-3195 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952950388 | Dr Paul Carniol | Plastic Surgery | 33 Overlook Rd Ste 401, Summit, NJ 07901-3564 | 2019-09-09 |
| 1457826109 | Plastic Surgery Practice of Hoboken PC | Plastic Surgery | 1320 Adams St Ste D, Hoboken, NJ 07030-2370 | 2018-10-09 |
| 1871099697 | Park Avenue Clinic, PC | Plastic Surgery | 109 Park Ave, Paterson, NJ 07501-2328 | 2018-04-02 |
| 1336657121 | Sood Center for Plastic Surgery | Plastic Surgery | 199 New Rd Ste 31, Linwood, NJ 08221-2025 | 2018-01-16 |
| 1174044481 | Shwetambara Parakh Md LLC | Plastic Surgery | 106 Grand Ave Ste 490, Englewood, NJ 07631-3596 | 2017-06-28 |
| 1609396449 | Hunterdon Specialty Care PC | Plastic Surgery | 63 Church St Ste 102, Flemington, NJ 08822-1627 | 2017-06-22 |
| 1417493131 | Aculous Medical Solutions LLC | Plastic Surgery | 330 Grand St Ste 100, Hoboken, NJ 07030-2728 | 2017-01-19 |
| 1750832499 | Altman Center for Aesthetic Plastic and Reconstructive Surgery | Plastic Surgery | 570 Sylvan Ave, 2nd Floor, Englewood Cliffs, NJ 07632-3132 | 2016-10-18 |
| 1851845846 | Michael Joseph Mclaughlin | Plastic Surgery | 6 Voorhees Way, Pennington, NJ 08534-4313 | 2016-08-08 |
| 1801200472 | Aydin Plastic Surgery Pa | Plastic Surgery | 140 N Rte 17 Ste 200, Paramus, NJ 07652-2829 | 2014-06-11 |
| Find all providers with the same taxonomy | ||||
| City | CHERRY HILL |
| Zip Code | 08003 |
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| 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.