AESTHETIC FACIAL PLASTIC SURGERY CENTER, INC. — NPI 1619163706 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Plastic Surgery Within the Head & Neck in MEDIA, PA)

CMS-1500 Box 24J / 33a • NPI

1619163706

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2082S0099X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Plastic Surgery Within the Head & Neck

Box 32 Service Location & ZIP+4

101 CHESLEY DR, GEORGTOWN BUILDING, MEDIA, PA, 19063-1761

✓ 9-Digit EDI 837 ZIP+4 (19063-1761)

Practice Phone & Referral Fax

(610) 565-6230

Fax: (570) 386-3130

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619163706 (AESTHETIC FACIAL PLASTIC SURGERY CENTER, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619163706` (NPI-2 Organization / Facility)
Provider / Legal Name	AESTHETIC FACIAL PLASTIC SURGERY CENTER, INC.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Plastic Surgery Within the Head & Neck NUCC Code: `2082S0099X` (Plastic Surgery, Plastic Surgery Within the Head and Neck)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	101 CHESLEY DR, GEORGTOWN BUILDING, MEDIA, PA, 19063-1761
Practice Telephone / Fax	Tel: (610) 565-6230 \| Fax: (570) 386-3130
Administrative Mailing Address	101 CHESLEY DR, MEDIA, PA, 19063-1761
Enumeration & Last Sync	Enumerated: 2007-09-21 \| CMS Record Updated: 2007-09-21
Authorized Official	GERALDINE MALLOY (Credentialing Specialist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

101 CHESLEY DR, GEORGTOWN BUILDING, MEDIA, PA, 19063-1761

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Plain-English Taxonomy & CMS Crosswalk (2082S0099X)

What Does Taxonomy Code 2082S0099X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2082S0099X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Plastic Surgery Within the Head & Neck"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 24 (Physician/Plastic and Reconstructive Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Plastic Surgery, Plastic Surgery Within the Head and Neck for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AESTHETIC FACIAL PLASTIC SURGERY CENTER, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2082S0099X` — Plastic Surgery, Plastic Surgery Within the Head and Neck Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Plastic Surgery Within the Head & Neck	State: PA \| License: `MD068106L` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AESTHETIC FACIAL PLASTIC SURGERY CENTER, INC. (NPI #1619163706)