Organization Active NPI

Imperial Plastic Surgery LLC

  • Plastic Surgery Physician
  • Westport, CT
National Provider Identifier
1235348368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
13070 Issued in CT
Legal business name
IMPERIAL PLASTIC SURGERY LLC
Practice address
32 Imperial Ave
Westport, CT 06880-4328
Phone
(718) 672-2824
Fax
(718) 672-4251
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joel B Singer, M.D.
Title
President
Phone
(718) 672-2824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 13070 CT Primary

Addresses

Primary practice location

32 Imperial Ave
Westport, CT 06880-4328

Mailing address

32 Imperial Ave
Westport, CT 06880-4328
Phone (718) 672-2824

Other identifiers 3

IdentifierTypeStateIssuer
P2494544OtherCTOXFORD
010013070CT01OtherCTANTHEM BLUE CROSS
CT0344OtherCTHEALTH NET

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235348368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 IMPERIAL AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804328",
            "telephone_number": "718-672-2824",
            "fax_number": "718-672-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 IMPERIAL AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804328",
            "telephone_number": "718-672-2824",
            "fax_number": "718-672-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-672-2824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "13070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2494544",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "010013070CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "CT0344",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.