Active NPI
Alan M Kisner Plastic Surgery PLLC
- Specialist
- Huntington, NY
National Provider Identifier
1083027593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1316841
- Legal business name
- ALAN M KISNER PLASTIC SURGERY PLLC
- Practice address
- 100 E Main St
Huntington, NY 11743-2847 - Phone
- (631) 424-4004
- Fax
- (631) 424-4027
- NPI assigned
- Jun 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cathy Hanges
- Title
- Office Manager
- Phone
- (631) 424-4004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1316841 | NY | Primary |
Addresses
Primary practice location
100 E Main St
Huntington, NY 11743-2847
Mailing address
100 E Main St
Huntington, NY 11743-2847
Phone (631) 424-4004
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2104601 | Alan M Kisner Facs, FRCS Plastic Surgery, PLLC | Certificate of waiver | Nov 8, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442275200000",
"number": "1083027593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432847",
"telephone_number": "631-424-4004",
"fax_number": "631-424-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432847",
"telephone_number": "631-424-4004",
"fax_number": "631-424-4027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAN M KISNER PLASTIC SURGERY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-03",
"last_updated": "2015-09-15",
"status": "A",
"authorized_official_last_name": "HANGES",
"authorized_official_first_name": "CATHY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "631-424-4004"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "1316841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.