- Practice location
- 500 N Broadway, Suite 200, Jericho, NY 11753-2127
- Phone
- 929-800-1887
- Fax
- —
- Last updated
- November 17, 2014
Cosmoplastic Surgery PLLC is a healthcare organization based in Jericho, NY. Cosmoplastic Surgery PLLC practices in Jericho, NY. The NPI Number for Cosmoplastic Surgery PLLC is 1922404094 and holds a License No. 213702-1 (NY). The current practice location address for Cosmoplastic Surgery PLLC is 500 N Broadway, Suite 200, Jericho, NY 11753-2127 and can be reached out via phone at 929-800-1887.
Provider Profile Details
- NPI Number
- 1922404094
- Provider Name
- Cosmoplastic Surgery PLLC
- Provider Entity Type
- Organization
- Address
- 500 N Broadway, Suite 200, Jericho, NY 11753-2127
- Phone Number
- 929-800-1887
- Primary Taxonomy
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X
- Organization Subpart
- No
- Authorized Official
- Dr. Kaveh Alizadeh, MD · Owner · 908-490-0036
- Provider Enumeration Date
- November 17, 2014
- Last Update Date
- November 17, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 N Broadway
Suite 200
Jericho, NY 11753-2127 - City
- Jericho
- State
- New York
- Zip
- 11753-2127
- Phone Number
- 929-800-1887
Provider Business Mailing Address Details
- Address
- 45 S Park Pl
# 298
Morristown, NJ 07960-3924 - City
- Morristown
- State
- NJ
- Zip
- 07960-3924
License Information
- License Number
- 213702-1
- License State
- NY
- Taxonomy
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Cosmoplastic Surgery PLLC?
The NPI number of Cosmoplastic Surgery PLLC is 1922404094. It was assigned on November 17, 2014 and is currently active in the NPPES registry.
What is the specialty of Cosmoplastic Surgery PLLC?
Cosmoplastic Surgery PLLC is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X), licensed in NY under license number 213702-1.
Where does Cosmoplastic Surgery PLLC practice?
The practice location is 500 N Broadway, Suite 200, Jericho, NY 11753-2127. The office can be reached at 929-800-1887 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922404094 directly on the NPPES registry website.