Cosmetic Surgery and Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

COSMETIC SURGERY AND DERMATOLOGY PLLC

Practice address

117 E 18TH Street
Suite 1
New York, NY 10003-2113

Phone

(212) 673-5633

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Omar Torres, MD

Title

President

Phone

(212) 673-5633

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Morales, P.A.

  • Physician Assistant
  • Bronx, NY
  • NPI 1811332182
  Medicare reassignment Care Compare group
• Omar Torres Lozada, M.D.

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1477578607
  Medicare reassignment Care Compare group
• Alyssa Gopman, PA

  • Medical Physician Assistant
  • New York, NY
  • NPI 1669870325
  Medicare reassignment
• Maria Gabriela Nunez, P.A.

  • Medical Physician Assistant
  • Elmhurst, NY
  • NPI 1801133541
  Medicare reassignment
• Yessenia Acosta, PA-C

  • Physician Assistant
  • Jackson Heights, NY
  • NPI 1033590260
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1104097013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E 18TH ST FRNT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E 18TH STREET",
            "address_2": "SUITE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032113",
            "telephone_number": "212-673-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC SURGERY AND DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-673-5633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "A100000696",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Cosme
• Cosmetic Clinic Dermatology
• Cosmetic Dental Plan Inc.
• Cosmetic Eye Surgery, PLLC
• Cosmetic Surgery and Derm, PLLC
• Cosmopolitan Optometry, P.C.
• Francesca Cossarini
• Costa Berkshire Group LLC
• Isadora Costa Chacon, M.D.
• Marina Costa Pena, MHC-LP

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.