Healthcare Provider Details

I. General information

NPI: 1932046562
Provider Name (Legal Business Name): THE PLASTIC SURGERY INSTITUTE OF NEW JERSEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GATEHALL DR STE P011
PARSIPPANY NJ
07054-4514
US

IV. Provider business mailing address

1 GATEHALL DR STE P011
PARSIPPANY NJ
07054-4514
US

V. Phone/Fax

Practice location:
  • Phone: 973-302-5125
  • Fax: 973-302-5127
Mailing address:
  • Phone: 973-302-5125
  • Fax: 973-302-5127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMAD SHUJA SHAFQAT
Title or Position: OWNER
Credential: MD
Phone: 973-302-5125