Individual provider Active NPI

David Leor Kashan, MD FACS

  • Plastic Surgery Physician
  • Roslyn, NY
National Provider Identifier
1063770394
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
280902 Issued in NY
Practice address
55 Bryant Ave FL 3
Roslyn, NY 11576-1158
Phone
(516) 515-9267
Fax
(206) 649-7195
NPI assigned
Apr 24, 2012
Last updated
Aug 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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 280902 NY Primary
Surgery Physician 208600000X 280902 NY

Addresses

Primary practice location

55 Bryant Ave FL 3
Roslyn, NY 11576-1158

Mailing address

55 Bryant Ave FL 3
Roslyn, NY 11576-1158
Phone (516) 515-9267

Other identifiers 1

IdentifierTypeStateIssuer
280902OtherNYMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David Kashan MD PC Plastic Surgery Current Accepting new patients

Locations

55 Bryant Ave
Fl 3
Roslyn, NY 11576
Phone (516) 515-9267

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1063770394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BRYANT AVE FL 3",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761158",
            "telephone_number": "516-515-9267",
            "fax_number": "206-649-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BRYANT AVE FL 3",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761158",
            "telephone_number": "516-515-9267",
            "fax_number": "206-649-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHAN",
        "first_name": "DAVID",
        "middle_name": "LEOR",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "280902",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "280902",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "280902",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.