Healthcare Provider Details

I. General information

NPI: 1932045168
Provider Name (Legal Business Name): SIERRA PLASTIC SURGERY LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 MONMOUTH RD STE 103
WEST LONG BRANCH NJ
07764-1021
US

IV. Provider business mailing address

107 MONMOUTH RD STE 103
WEST LONG BRANCH NJ
07764-1021
US

V. Phone/Fax

Practice location:
  • Phone: 775-742-9174
  • Fax:
Mailing address:
  • Phone: 775-742-9174
  • Fax: 732-333-6324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BORIS VOLSHTEYN
Title or Position: CEO
Credential: MD
Phone: 775-742-9174