Organization Active NPI

Evolve Plastic Surgery PLLC

  • Plastic Surgery Physician
  • Jericho, NY
National Provider Identifier
1215787924
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
EVOLVE PLASTIC SURGERY PLLC
Practice address
350 Jericho Tpke Ste 1a
Jericho, NY 11753-1317
Phone
(516) 833-0309
Fax
(516) 570-3747
NPI assigned
Mar 25, 2024
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Yoel A Rojas, MD
Title
MD/Owner
Phone
(718) 465-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

350 Jericho Tpke Ste 1a
Jericho, NY 11753-1317

Mailing address

350 Jericho Tpke Ste 1a
Jericho, NY 11753-1317
Phone (516) 833-0309

Other practice location 1

129 W Rand Rd
Arlington Heights, IL 60004-3142
Phone (516) 833-0309

Other practice location 2

8937 W Golf Rd
Niles, IL 60714-5812
Phone (516) 833-0309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240501002589 NY Part B Supplier - Clinic/Group Practice 4486094901 Receives reassigned benefits from 2 practitioners
Practice locations: Oakland Gardens, NY

National Provider Directory

National Provider Directory

Locations

350 Jericho Tpke
Ste 1A
Jericho, NY 11753
Phone (212) 518-4562

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1215787924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 JERICHO TPKE STE 1A",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531317",
            "telephone_number": "516-833-0309",
            "fax_number": "516-570-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JERICHO TPKE STE 1A",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531317",
            "telephone_number": "516-833-0309",
            "fax_number": "516-570-3747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 W Rand Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600043142",
            "country_code": "US",
            "telephone_number": "516-833-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8937 W Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "IL",
            "postal_code": "607145812",
            "country_code": "US",
            "telephone_number": "516-833-0309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLVE PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "YOEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "718-465-3200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.