DR. MICHAEL CARL BRUCK (NPI# 1164505889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164505889 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL CARL BRUCK |
| Credential | M.D. |
| Practice Address |
60 E 56th St 2nd Floor New York NY 10022-3204 |
| Mailing Address |
160 E 89th St Apt 4a New York NY 10128-2305 |
| Practice Telephone | 2126885882 |
| Mailing Telephone | 2122897751 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 141259-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033189055 | Michael L. Bruck | Pediatrics | 10115 W Forest Hill Blvd., Suite 402, Wellington, FL 33414 | 2006-01-23 |
| Street Address |
60 E 56TH ST 2ND FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10022-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855885 | Yael Halaas | Otolaryngology | 60 E 56th St, Third Floor, New York, NY 10022-3204 | 2005-07-19 |
| 1548737281 | Marissa Brooke Leavitt | Plastic Surgery | 60 E 56th St, New York, NY 10022-3204 | 2018-10-31 |
| 1265982334 | Kaylyn Elizabeth Plum | Physician Assistant | 60 E 56th St, Suite 302, New York, NY 10022-3204 | 2016-10-12 |
| 1245600717 | Gotham Surgical, Pllc | Clinic/Center | 60 E 56th St, New York, NY 10022-3204 | 2015-09-28 |
| 1992132930 | Evan N. Polymeris | Dentist | 60 E 56th St, Suite #501, New York, NY 10022-3204 | 2013-10-04 |
| 1962778555 | New York Gi Associates,pc | Internal Medicine | 60 E 56th St, 7th Floor, New York, NY 10022-3204 | 2012-03-28 |
| 1295011823 | Gotham Plastic Surgery, Pllc | Clinic/Center | 60 E 56th St, 3rd Fl, New York, NY 10022-3204 | 2011-10-27 |
| 1376848598 | Kenneth M Ferranti | Physician Assistant | 60 E 56th St, New York, NY 10022-3204 | 2011-01-19 |
| 1629384532 | April Cannon | Nurse Practitioner | 60 E 56th St, New York, NY 10022-3204 | 2010-08-30 |
| 1962633347 | Lori Ann Friedman | Physician Assistant | 60 E 56th St, New York, NY 10022-3204 | 2009-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1629697081 | Mary Kathleen Mcallister | Social Worker | 157 East 57th Street, Apt 7a, New York, NY 10022 | 2020-04-15 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1679116768 | Niteegna Patel | Physical Therapist | 115 East 57th Sreet, Suite 520, New York, NY 10022 | 2019-10-22 |
| 1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
| 1124686548 | Necati Enver | Student in an Organized Health Care Education/Training Program | 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 | 2019-05-31 |
| 1134688062 | Queenie K Yeung | Occupational Therapist | 1110 Second Avenue, Suite 302, New York, NY 10022 | 2019-03-19 |
| 1437616968 | Rebekah Wotman | Nurse Practitioner | 121 E 60th Street, Suite 4c, New York, NY 10022 | 2019-02-20 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| 1235616186 | Deborah Badran | Doula | 415 East 52st. #2aa, New York, NY 10022 | 2018-07-24 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137790 | Shah Plastic Surgery Pllc | Plastic Surgery | 352 7th Avenue, Unit 1503, New York, NY 10001 | 2020-05-29 |
| 1548817083 | Cljohnsonmd PC | Plastic Surgery | 22 W 48th St Ste 300, New York, NY 10036-1818 | 2019-08-20 |
| 1437629433 | Craig Baldenhofer Md Pllc | Plastic Surgery | 115 W 27th St Fl 10, New York, NY 10001-6217 | 2018-12-03 |
| 1427523174 | Image Plastic Surgery LLC | Plastic Surgery | 346 E 51st St Apt 1f, New York, NY 10022-7824 | 2018-10-09 |
| 1316457690 | Azra Bano Rezwi | Plastic Surgery | 815 Park Avenue, Apt 7-a, New York, NY 10021 | 2017-10-02 |
| 1902332018 | Marc Everett Md P.C. | Plastic Surgery | 128 E 62nd St, New York, NY 10065-9018 | 2017-05-10 |
| 1720422579 | Matthew Adam Delmauro | Plastic Surgery | 120 E 56th St Ste 800, New York, NY 10022-3607 | 2013-04-23 |
| 1700135506 | Vincent Michael Hogan | Plastic Surgery | 66 East 79th St., New York, NY 10075 | 2012-09-07 |
| 1386901890 | Anna Avaliani | Plastic Surgery | 30 E 60th St Ste 1100, Anna Avaliani Md Cosmetic & Laser Surgery, New York, NY 10022-1008 | 2012-04-20 |
| 1558636217 | David Lawrence Abramson Md PC | Plastic Surgery | 42a East 74th Street, New York, NY 10021-2735 | 2012-03-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.