Manhattan Reconstructive Surgery PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

CERT# 1589 Issued in NY

Legal business name

MANHATTAN RECONSTRUCTIVE SURGERY PC

Practice address

850 Park Ave
New York, NY 10075-1845

Phone

(212) 988-4040

NPI assigned

May 3, 2016

Organization subpart

No

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

Authorized official

Name

Darrick Antell, MD

Title

Medical Director

Phone

(212) 988-4040

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1184079600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751845",
            "telephone_number": "212-988-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN RECONSTRUCTIVE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "ANTELL",
        "authorized_official_first_name": "DARRICK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-988-4040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "CERT# 1589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAASF, INC.",
            "identifier": "CERT# 1589",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manhattan Pulmonary & Internal Medicine PC
• Manhattan Pulmonary Associates
• Manhattan Queens Pediatrics
• Manhattan Radiation Oncology PLLC
• Manhattan Reconstructive Office Based Surgery Practice PC
• Manhattan Rehabilitation Management LLC
• Manhattan Rehabilitation Services
• Manhattan Relationship Counseling and Psychotherapy
• Manhattan Renal Associate, P.C.
• Manhattan Reproductive Medicine

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.