Active NPI
David Jerard Pincus, M.D.
- Plastic Surgery Physician
- Boca Raton, FL
National Provider Identifier
1245463058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME153259
- Practice address
- 875 Meadows Rd Ste 313
Boca Raton, FL 33486-2349 - Phone
- (631) 352-3556
- Fax
- (631) 352-3557
- NPI assigned
- Aug 27, 2009
- Last updated
- Mar 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME153259 | FL | Primary |
| Plastic Surgery Physician | 208200000X | 277916 | NY |
Addresses
Primary practice location
875 Meadows Rd Ste 313
Boca Raton, FL 33486-2349
Mailing address
50 Route 111 Ste 300
Smithtown, NY 11787-3700
Phone (561) 445-7676
Other practice location 1
50 Route 111 Ste 300
Smithtown, NY 11787-3700
Phone (631) 352-3556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME153259 | FL | MD | Plastic Surgery Physician |
| 277916 | NY | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pincus Plastic Surgery, PA | Plastic Surgery | Current | Accepting new patients |
| Pincus Plastic Surgery PC | Plastic Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Plastic Surgery Physician
- Boca Raton, FL
- NPI 1801747944
-
- Plastic Surgery Physician
- Centerport, NY
- NPI 1982166138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1245463058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 ROUTE 111 STE 300",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873700",
"telephone_number": "561-445-7676",
"fax_number": "316-352-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 MEADOWS RD STE 313",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862349",
"telephone_number": "631-352-3556",
"fax_number": "631-352-3557"
}
],
"practiceLocations": [
{
"address_1": "50 Route 111 Ste 300",
"address_purpose": "LOCATION",
"city": "Smithtown",
"state": "NY",
"postal_code": "117873700",
"country_code": "US",
"telephone_number": "631-352-3556",
"fax_number": "631-352-3557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PINCUS",
"first_name": "DAVID",
"middle_name": "JERARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-27",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME153259",
"primary": true
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "277916",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.