Organization Active NPI

Northern Westchester Plastic Surgery

  • Plastic Surgery Physician
  • Mount Kisco, NY
National Provider Identifier
1124217823
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
209241 Issued in NY
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

Updated by the provider on Jun 3, 2010

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
WMJ742OtherMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.