Organization Active NPI

New York Aesthetic Surgery, PC

  • Plastic and Reconstructive Surgery Physician
  • White Plains, NY
National Provider Identifier
1053345280
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
215759-2 Issued in NY
Legal business name
NEW YORK AESTHETIC SURGERY, PC
Practice address
10 Chester Ave
2ND Floor
White Plains, NY 10601-5112
Phone
(914) 761-8667
Fax
(914) 761-7460
NPI assigned
Jul 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Samuel J. BeranNPI 1225050206
Title
Owner
Phone
(914) 761-8667

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
Plastic and Reconstructive Surgery Physician 2086S0122X 215759-2 NY Primary

Addresses

Primary practice location

10 Chester Ave
2ND Floor
White Plains, NY 10601-5112

Mailing address

10 Chester Ave
2ND Floor
White Plains, NY 10601-5112
Phone (914) 761-8667

National Provider Directory

National Provider Directory

Locations

10 Chester Ave
Fl 2
White Plains, NY 10601
Phone (914) 761-8667

Practitioners & affiliated clinicians

Practitioners 2

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053345280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHESTER AVE",
            "address_2": "2ND FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106015112",
            "telephone_number": "914-761-8667",
            "fax_number": "914-761-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHESTER AVE",
            "address_2": "2ND FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106015112",
            "telephone_number": "914-761-8667",
            "fax_number": "914-761-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK AESTHETIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-761-8667"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "215759-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.