Organization Active NPI

Wellington Office Based Surgical Practice, PLLC

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1023888765
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
WELLINGTON OFFICE BASED SURGICAL PRACTICE, PLLC
Practice address
110 East 87TH Street
#1C
New York, NY 10128-4102
Phone
(212) 828-9906
NPI assigned
Jan 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Richard Swift, MD
Title
Managing Member
Phone
(212) 828-9906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

110 East 87TH Street
#1C
New York, NY 10128-4102

Mailing address

110 East 87TH Street
#1C
New York, NY 10128-4102
Phone (212) 828-9906

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1023888765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EAST 87TH STREET",
            "address_2": "#1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284102",
            "telephone_number": "212-828-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EAST 87TH STREET",
            "address_2": "#1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284102",
            "telephone_number": "212-828-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON OFFICE BASED SURGICAL PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "212-828-9906",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.