Active NPI
Imperial Plastic Surgery LLC
- Plastic Surgery Physician
- Westport, CT
National Provider Identifier
1235348368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 13070
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2494544 | Other | CT | OXFORD |
| 010013070CT01 | Other | CT | ANTHEM BLUE CROSS |
| CT0344 | Other | CT | HEALTH NET |
National Provider Directory
National Provider DirectoryNPI 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.