NPIMap

Organization Active NPI

Binghamton Plastic Surgery, PLLC

  • Specialist
  • Binghamton, NY
National Provider Identifier
1013254036
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
134180 Issued in NY
Legal business name
BINGHAMTON PLASTIC SURGERY, PLLC
Practice address
161 Riverside Dr
Suite 106
Binghamton, NY 13905-4176
Phone
(607) 729-0101
Fax
(607) 729-5693
NPI assigned
Jan 10, 2013
Last updated
Apr 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Dr. Armando B Mata, MDNPI 1467524975
Title
President
Phone
(607) 729-0101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 134180 NY Primary

Addresses

Primary practice location

161 Riverside Dr
Suite 106
Binghamton, NY 13905-4176

Mailing address

161 Riverside Dr
Suite 106
Binghamton, NY 13905-4176
Phone (607) 729-0101

National Provider Directory

National Provider Directory

Locations

161 Riverside Dr
Ste 106
Binghamton, NY 13905
Phone (607) 729-0101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1013254036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 RIVERSIDE DR",
            "address_2": "SUITE 106",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054176",
            "telephone_number": "607-729-0101",
            "fax_number": "607-729-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 RIVERSIDE DR",
            "address_2": "SUITE 106",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054176",
            "telephone_number": "607-729-0101",
            "fax_number": "607-729-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BINGHAMTON PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-729-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "134180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.