CORNELL UNIVERSITY MEDICAL COLLEGE (NPI# 1790792638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790792638 |
| Entity Type | Organization |
| Organization Name | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Other Organization Name | CORNELL PLASTIC SURGERY |
| Practice Address |
525 E 68th St Suite M014 New York NY 10021-4870 |
| Mailing Address |
525 E 68th St Box 129 New York NY 10021-4870 |
| Practice Telephone | 2127465593 |
| Mailing Telephone | 2127465593 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DARRACOTT VAUGHAN JR. (CHIEF MEDICAL OFFICER FOR PO) |
| Authorized Official Telephone | 2127466464 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cornell Plastic Surgery | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962839852 | Cornell University Medical College | General Acute Care Hospital | 575 Lexington Ave, 540, New York, NY 10022-6102 | 2013-10-09 |
| 1932116886 | Cornell University Medical College | Surgery | 525 E 68th St, Suite M014, New York, NY 10021-4870 | 2006-08-02 |
| 1528084910 | Cornell University Medical College | Psychologist | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2006-07-15 |
| Street Address |
525 E 68TH ST SUITE M014 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-4870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307266 | Kevin Holcomb | Obstetrics & Gynecology | 525 E 68th St, J-130, New York, NY 10065-4870 | 2005-06-22 |
| 1881295632 | Cathy Liu | Registered Nurse | 525 E 68th St, New York, NY 10065-4870 | 2020-11-06 |
| 1336740638 | Gina Papili | Nurse Practitioner | 525 E 68th St, New York, NY 10065-4870 | 2020-11-03 |
| 1740880186 | Seulgi Heo | Registered Nurse | 525 E 68th St, New York, NY 10065-4870 | 2020-10-26 |
| 1518564954 | Paramjit Kaur Sembhi | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-10-08 |
| 1679170260 | Matthew Seeba | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-10-06 |
| 1407463144 | Claire L Douglass | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-09-27 |
| 1669088274 | Alison Nicole Lyle-bonaparte | Nurse Practitioner | 525 E 68th St, New York, NY 10065-4870 | 2020-09-18 |
| 1831703743 | Melissa Ann Rice | Nurse Practitioner | 525 E 68th St, New York, NY 10065-4870 | 2020-09-08 |
| 1467066191 | Nicholas Christopher Craven | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| 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.