Organization Active NPI

Park 71 Plastic Surgery PC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
National Provider Identifier
1083847834
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
174830 Issued in NY
Legal business name
PARK 71 PLASTIC SURGERY PC
Practice address
114 E 71St St
Suite 1W
New York, NY 10021-5040
Phone
(631) 878-4642
Fax
(631) 878-4280
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Kenneth R Francis, MD
Title
Owner
Phone
(201) 895-0891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 174830 NY Primary

Addresses

Primary practice location

114 E 71St St
Suite 1W
New York, NY 10021-5040

Mailing address

2307 Bellmore Ave Unit B
Bellmore, NY 11710-5651
Phone (201) 895-0891

National Provider Directory

National Provider Directory

Locations

114 E 71st St
Ste 1W
New York, NY 10021
Phone (212) 226-0677

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1083847834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 BELLMORE AVE UNIT B",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105651",
            "telephone_number": "201-895-0891",
            "fax_number": "516-308-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 71ST ST",
            "address_2": "SUITE 1W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215040",
            "telephone_number": "631-878-4642",
            "fax_number": "631-878-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK 71 PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-895-0891",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "174830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.