Active NPI
Northern Westchester Plastic Surgery
- Plastic Surgery Physician
- Mount Kisco, NY
National Provider Identifier
1124217823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 209241
- Legal business name
- NORTHERN WESTCHESTER PLASTIC SURGERY
- Practice address
- 83 S Bedford Rd
2ND Floor
Mount Kisco, NY 10549-3429 - Phone
- (914) 666-6609
- NPI assigned
- Oct 18, 2007
- 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
- Dr. Malik A Kutty, M.D.
- Title
- President
- Phone
- (914) 666-6609
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 209241 | NY | Primary |
Addresses
Primary practice location
83 S Bedford Rd
2ND Floor
Mount Kisco, NY 10549-3429
Mailing address
4660 Sweetwater Blvd
Suite 150
Sugar Land, TX 77479-3166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WMJ742 | Other | MEDICARE GROUP NUMBER |
National Provider Directory
National Provider DirectoryLocations
83 S Bedford Rd
Ste 202
Mount Kisco, NY 10549
Phone (914) 666-6609
83 S Bedford Rd
Ste 2
Mount Kisco, NY 10549
Phone (914) 666-6609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275523200000",
"number": "1124217823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 SWEETWATER BLVD",
"address_2": "SUITE 150",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774793166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 S BEDFORD RD",
"address_2": "2ND FLOOR",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493429",
"telephone_number": "914-666-6609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN WESTCHESTER PLASTIC SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-18",
"last_updated": "2010-06-03",
"status": "A",
"authorized_official_last_name": "KUTTY",
"authorized_official_first_name": "MALIK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "914-666-6609",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "NY",
"license": "209241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "WMJ742",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, NY
- Northern Westchester Hospital Association
- Northern Westchester Hospital Association
- Northern Westchester Medical PC
- Northern Westchester Medical, PC
- Northern Westchester Physcial & Occupational Therapy
- Northern Westchester Psychological Services
- Northern Westchester Surgical Services, P.C.
- Nuclear Cardiology Services of Northern Westchester
- Nyconn Orthopaedic & Rehabilitation Spcecialists, PLLC
- Nyconn Orthopaedic & Rehabilitation Specialists
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.