If you are thinking about having your nose bobbed or your breasts enhanced, you may want to go to New York or Philadelphia or even Miami. Anywhere but New Jersey. The state Legislature recently passed a budget that includes a 6 percent tax on cosmetic surgery that does not prevent or treat disease. Doctors say that enforcing the tax will reduce patient privacy, since they'll have to open their records to state tax officials. That budget also includes a 3.5 percent tax on ambulatory care facilities.