OrganizationActiveAccepts Medicare
Plastic & Cosmetic Surgery Institute PC
NPI 1154639052 · Specialist · Vineland, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1154639052
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- David Watts, Ceo(856) 691-0200
- License
- 25MA06143100 (NJ)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1051 W Sherman Ave
Bldg 2, Suite a
Vineland, NJ 08360-6931
Phone: (856) 691-0200
Fax: (856) 691-5984
Street-level locationGet directions
Mailing address
1051 W Sherman Ave
Vineland, NJ 08360-6931
Registry dates
- Enumerated
- 2010-09-14
- Last updated
- 2010-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.