Advanced Plastic Surgery of Northshore, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ADVANCED PLASTIC SURGERY OF NORTHSHORE, P.C.

Practice address

2500 Marcus Avenue
Suite, 103
Lake Success, NY 11042-1018

Phone

(516) 354-1330

Fax

(516) 775-5953

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mahira Tanovic, M.D.NPI 1942389317

Title

Plastic and Hand Surgeon

Phone

(516) 354-1330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Mahira Tanovic, MD

  • Plastic Surgery Physician
  • Lake Success, NY
  • NPI 1942389317
  Medicare reassignment Authorized official
• Syed M. Sayeed, MD

  • Plastic and Reconstructive Surgery Physician
  • Manhasset, NY
  • NPI 1073717666
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1114114105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARCUS AVENUE",
            "address_2": "SUITE, 103",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421018",
            "telephone_number": "516-354-1330",
            "fax_number": "516-775-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MARCUS AVENUE",
            "address_2": "SUITE, 103",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421018",
            "telephone_number": "516-354-1330",
            "fax_number": "516-775-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PLASTIC SURGERY OF NORTHSHORE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "TANOVIC",
        "authorized_official_first_name": "MAHIRA",
        "authorized_official_title_or_position": "PLASTIC AND HAND SURGEON",
        "authorized_official_telephone_number": "516-354-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 7 Day Home Care LTD
• Kevin Abraham, PHARMD
• Agewell Diagnostics, Inc.
• Agewell Physical Therapy and Wellness, P.C.
• Carole Agin, M.D.
• Nita Agnish, PHARM D
• Milena Alicandro, OTR/L

• Specialist in Lake Success, NY
• Providers in Lake Success, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.