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

Mona Lisa Cosmetic Surgery Center

Organization Dermatology Physician · NPI 1770801086

Mona Lisa Cosmetic Surgery Center is a Dermatology Physician in Wayne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.

Licensed in
NJ
In the registry since
2010
Specialties on file
3

Practice location Address checks out

1176 Hamburg Tpke
Wayne, NJ 07470-5069
Phone: (973) 692-9300
Fax: (973) 692-9301
Show map & directions

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

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence MA065731 (NJ)
Dermatology Physician Taxonomy 207N00000X (NJ)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence MA065731 (NJ)

Record details

NPI number1770801086
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramtin Kassir — Physician · (973) 692-9300
NPI enumeratedMay 11, 2010
Last updated in NPPESMay 11, 2010
Mailing address1176 Hamburg Tpke, Wayne, NJ 07470-5069

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