NORTHEAST PLASTIC SURGERY PLLC (NPI# 1770129058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770129058 |
| Entity Type | Organization |
| Organization Name | NORTHEAST PLASTIC SURGERY PLLC |
| Practice Address |
245 5th Ave Fl 3 New York NY 10016-8728 |
| Mailing Address |
21 Southport Ter Southport CT 06890-1492 |
| Practice Telephone | 9177080018 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | SHAREEF JANDALI (OWNER) |
| Authorized Official Telephone | 2036045865 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NORTHEAST PLASTIC SURGERY PLLC | 21 Southport Terrace, Southport, Ct 06890 |
| Street Address |
245 5TH AVE FL 3 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10016-8728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710323506 | Pantea Farahmand | Psychiatry & Neurology | 245 5th Ave Fl 3, New York, NY 10016-8728 | 2013-05-20 |
| 1861019903 | Eugenia Rallou Hamshaw | Dietitian, Registered | 245 5th Ave Fl 3, New York, NY 10016-8728 | 2020-07-05 |
| 1881218188 | Caitlin Schnack | Nutritionist | 245 5th Ave Fl 3, New York, NY 10016-8728 | 2020-06-02 |
| 1578112215 | Mercedes J Okosi | Psychologist | 245 5th Ave Fl 3, New York, NY 10016-8728 | 2019-09-05 |
| 1952953440 | Seung Min Lee | Acupuncturist | 245 5th Ave Fl 3, New York, NY 10016-8728 | 2019-07-15 |
| 1346726866 | Lina Michelle Weber | Physician Assistant | 245 5th Ave Fl 3, New York, NY 10016-8728 | 2018-07-17 |
| 1831617083 | Alyssa Leight | Social Worker | 245 5th Ave Fl 3, New York, NY 10016-8728 | 2017-09-07 |
| 1811436157 | Eden Health Medical, P.C. | Internal Medicine | 245 5th Ave Fl 3, New York, NY 10016-8728 | 2017-02-20 |
| 1689056582 | Stevan Obradovic | Psychiatry & Neurology | 245 5th Ave Fl 3, New York, NY 10016-8728 | 2015-06-26 |
| 1669879508 | Young J. Cho | Physical Therapist | 245 5th Ave Fl 3, New York, NY 10016-8728 | 2014-11-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1972118206 | Trisha Aloquina | Nurse Practitioner | 106 East 32nd St, 102, New York, NY 10016 | 2020-09-14 |
| 1912519950 | Lionel Thompson Jr. | Social Worker | Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 | 2020-08-20 |
| 1134755622 | Samantha Caldona | Behavior Technician | 205 East 35 Street, New York, NY 10016 | 2020-03-17 |
| 1104477504 | Jaclyn A. Silverman | Nurse Practitioner | 113 East 39th Street, New York, NY 10016 | 2019-09-26 |
| 1093376147 | Eskue Therapy, LLC | Massage Therapist | 130 East 40 Street, Ste. 1001, New York, NY 10016 | 2019-06-27 |
| 1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
| 1265096754 | Sharon Brenda Madanes | Student in an Organized Health Care Education/Training Program | Nyu Langone, 550 First Ave., New York, NY 10016 | 2019-04-30 |
| 1124589569 | Krupali Chokshi | Student in an Organized Health Care Education/Training Program | Nyu Langone Hospital, 550 First Ave., New York, NY 10016 | 2019-03-28 |
| 1982160909 | Sherell Miriam Harding | Behavioral Analyst | 204 35th St, New York, NY 10016 | 2019-02-14 |
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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.