Organization Active NPI

Cold Spring Plastic Surgery PC

  • Plastic Surgery Physician
  • Huntington, NY
National Provider Identifier
1093978850
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
236836 Issued in NY
Legal business name
COLD SPRING PLASTIC SURGERY PC
Practice address
224 Wall St Ste 201
Huntington, NY 11743-2186
Phone
(631) 470-9650
Fax
(631) 498-0474
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Dr. Michael Brickman, MD
Title
President
Phone
(631) 470-9650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 236836 NY Primary

Addresses

Primary practice location

224 Wall St Ste 201
Huntington, NY 11743-2186

Mailing address

224 Wall St Ste 201
Huntington, NY 11743-2186
Phone (631) 470-9650

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1093978850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WALL ST STE 201",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432186",
            "telephone_number": "631-470-9650",
            "fax_number": "631-498-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WALL ST STE 201",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432186",
            "telephone_number": "631-470-9650",
            "fax_number": "631-498-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLD SPRING PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "BRICKMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-470-9650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "236836",
            "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 May 1, 2019; 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.