Individual provider Active NPI

Nicholas R Husni, MD PHD

  • Plastic Surgery Physician
  • Lyndhurst, OH
National Provider Identifier
1053498949
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35085059 Issued in OH
Practice address
29001 Cedar Rd Ste 300
Lyndhurst, OH 44124-4041
Phone
(216) 264-7800
Fax
(216) 592-8062
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 35-085059 OH
Plastic Surgery Physician 208200000X 35085059 OH Primary

Addresses

Primary practice location

29001 Cedar Rd Ste 300
Lyndhurst, OH 44124-4041

Mailing address

5005 Rockside Rd
#640
Independence, OH 44131
Phone (216) 328-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20081111000182 OH Practitioner - Plastic and Reconstructive Surgery 2567521271

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-085059OHMDPlastic Surgery Physician
35085059OHMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Reserve Plastic Surgery Plastic Surgery Past Accepting new patients

Organizations & group practices 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1053498949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 ROCKSIDE RD",
            "address_2": "#640",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "44131",
            "telephone_number": "216-328-0800",
            "fax_number": "216-328-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29001 CEDAR RD STE 300",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441244041",
            "telephone_number": "216-264-7800",
            "fax_number": "216-592-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSNI",
        "first_name": "NICHOLAS",
        "middle_name": "R",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35-085059",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35085059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

Verify at the official NPI Registry.