Active NPI
Huntington Plastic Surgery PC
- Plastic Surgery Physician
- Melville, NY
National Provider Identifier
1104286079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- HUNTINGTON PLASTIC SURGERY PC
- Practice address
- 510 Broadhollow Rd Ste 100
Melville, NY 11747-3671 - Phone
- (631) 424-3600
- Fax
- (631) 424-2963
- NPI assigned
- Mar 4, 2016
- 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
- Katharine Pyne
- Title
- Manager
- Phone
- (631) 424-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
510 Broadhollow Rd Ste 100
Melville, NY 11747-3671
Mailing address
510 Broadhollow Rd Ste 100
Melville, NY 11747-3671
Phone (631) 424-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Melville, NY
- NPI 1134395668
-
- Plastic Surgery Physician
- Huntington, NY
- NPI 1043509227
-
- Plastic Surgery Physician
- Melville, NY
- NPI 1497827810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655683200000",
"number": "1104286079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 BROADHOLLOW RD STE 100",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473671",
"telephone_number": "631-424-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 BROADHOLLOW RD STE 100",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473671",
"telephone_number": "631-424-3600",
"fax_number": "631-424-2963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTINGTON PLASTIC SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-04",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A",
"authorized_official_last_name": "PYNE",
"authorized_official_first_name": "KATHARINE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "631-424-3600"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.