Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Valley Plastic Surgery

Organization Plastic Surgery Physician · NPI 1114484763

Jefferson Valley Plastic Surgery is a Plastic Surgery Physician in Jefferson Vly, New York. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

3650 Hill Blvd
Jefferson Vly, NY 10535-1500
Phone: (631) 827-8159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1114484763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mathew James — Patient Accounts · (631) 827-8159
NPI enumeratedMarch 1, 2019
Last updated in NPPESMarch 1, 2019
Mailing address3650 Hill Blvd, Jefferson Vly, NY 10535-1500