Plastic Surgery and Skincare, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

250439 Issued in NY

Legal business name

PLASTIC SURGERY AND SKINCARE, PLLC

Practice address

630 Park Ave
New York, NY 10065-6560

Phone

(212) 220-0776

Fax

(212) 214-0581

NPI assigned

Feb 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shanalee Ackerman

Title

Practice Manager

Phone

(425) 503-1706

Specialties & licenses 1

Addresses

Other names 1

• Marnie Nussbaum Dermatology Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marnie Nussbaum, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1649430984
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1003354531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656560",
            "telephone_number": "212-220-0776",
            "fax_number": "212-214-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656560",
            "telephone_number": "212-220-0776",
            "fax_number": "212-214-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY AND SKINCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "SHANALEE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "425-503-1706"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "250439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marnie Nussbaum Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beatrice R. Plasse, LCSW , DSW
• Harvey M Plasse, M.D.
• Terry Plasse, MD
• Plastic and Reconstructive Breast Surgery PLLC
• Plastic Surgery and Dermatology of Nyc PLLC
• Plastic Surgery of Manhattan PC
• Plastic Surgery Operations, PLLC
• Marc Plastrik
• Jose Plata
• Maria Plataki, M.D. PHD

• Medical Specialty Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.