Elevation Plastic Surgery, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

046053 Issued in CT

Legal business name

ELEVATION PLASTIC SURGERY, PC

Practice address

60 Temple St
Suite 4B
New Haven, CT 06510-2716

Phone

(203) 752-0015

Fax

(203) 772-2814

NPI assigned

Apr 1, 2009

Last updated

Apr 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leo Ryo Otake, M.D., PH.D.

Title

Medical Director

Phone

(203) 752-0015

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Stephan Ariyan, M.D.

  • Plastic and Reconstructive Surgery Physician
  • New Haven, CT
  • NPI 1578583282
  NPD (past)

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1073755443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TEMPLE ST",
            "address_2": "SUITE 4B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102716",
            "telephone_number": "203-752-0015",
            "fax_number": "203-772-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TEMPLE ST",
            "address_2": "SUITE 4B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102716",
            "telephone_number": "203-752-0015",
            "fax_number": "203-772-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "OTAKE",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "RYO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-752-0015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "046053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Eld, PHARM.D
• Heather M Elder
• Robert W Elder Jr., M.D.
• Douglas L. Eldred, PA-C
• John A Elefteriades, MD
• Arye Elfenbein, M.D.
• Aymen Elfiky, M.D., M.A., M.P.H.
• Ahmed Ali Ali Elgohary, M.D.
• Yaser Elhilo
• Ebtisam Elhussien, RPH

• Plastic Surgery Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Plastic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.