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 provides Dermatology Physician services 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 Not confirmed with CMS for 16 years — call before visiting
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

Other providers in Wayne