Provider Demographics
NPI:1932350147
Name:THE KAPLAN CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY PC
Entity Type:Organization
Organization Name:THE KAPLAN CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:M
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-786-1977
Mailing Address - Street 1:1033 RIVER RD
Mailing Address - Street 2:UNIT 1
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-1351
Mailing Address - Country:US
Mailing Address - Phone:201-786-1977
Mailing Address - Fax:201-731-5247
Practice Address - Street 1:1033 RIVER RD
Practice Address - Street 2:UNIT 1
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1351
Practice Address - Country:US
Practice Address - Phone:201-786-1977
Practice Address - Fax:201-731-5247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA079260002086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1871799080OtherGORDON M KAPLAN NPI
NJ121909Medicare PIN