MEDICARE: PERSONAL PLASTIC SURGERY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MA58573	NJ

General Provider Information

NPI Number	:	1710146766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL PLASTIC SURGERY LLC

Provider Business Mailing Address
First Line	:	383 NORTHFIELD AVE
Second Line	:
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-3024
Country	:	US
Telephone Number	:	973-324-9455
Fax Number	:

Provider Business Practice Location Address
First Line	:	383 NORTHFIELD AVE
Second Line	:
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-3024
Country	:	US
Telephone Number	:	973-324-9455
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SANJAY LALLA
Credential	:	M.D.
Telephone Number	:	973-324-9455

Provider Enumeration Date	:	06/05/2008
Last Update Date	:	07/13/2024

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1295797256 — DR. SANJAY LALLA M. D.
Practice Location Address:

383 NORTHFIELD AVE
WEST ORANGE, NJ
07052-3024

Practice Phone: 973-324-9455
Practice Fax: 973-324-9454

1639381858 — GHANSHYAM LALLA & PUSHPA LALLA PC
Practice Location Address:

383 NORTHFIELD AVE , SUITE 102
WEST ORANGE, NJ
07052-3024

Practice Phone: 973-736-7750
Practice Fax: 973-669-9691

1912032152 — MISS MEGHAN S GOODWIN LMFT
Practice Location Address:

3024 E CHAPMAN AVE # 241
ORANGE, CA
92869-3706

Practice Phone: 714-616-4237
Practice Fax:

1609259746 — SARA LYNN BARTLETT ATC
Practice Location Address:

3024 E CRAIG DR
ORANGE, CA
92869-4740

Practice Phone: 714-305-7910
Practice Fax:

Directions to “PERSONAL PLASTIC SURGERY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.