Individual provider Active NPI

Caroline Min, M.D.

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1043375538
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A97475 Issued in CA
Practice address
210 E 64TH St
New York, NY 10021-7471
Phone
(212) 605-3741
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A97475 CA Primary

Addresses

Primary practice location

210 E 64TH St
New York, NY 10021-7471

Mailing address

450 E 63Rd St
#10G
New York, NY 10021-7928
Phone (917) 696-6909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070627000371 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 4385743657 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A97475CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caroline Min MD Inc. Plastic Surgery Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 23, 2007 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 23, 2007 Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

50 Bellefontaine St
Ste 104
Pasadena, CA 91105
Phone (626) 304-6300

601 Torrance Blvd
Redondo Beach, CA 90277
Phone (310) 316-0811

Interoperability endpoints

  • Direct secure messaging: carolinemin@hcpca.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1043375538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E 63RD ST",
            "address_2": "#10G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217928",
            "telephone_number": "917-696-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 64TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217471",
            "telephone_number": "212-605-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A97475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.