Tracy Marlene Pfeifer, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

192707 Issued in NY

Practice address

969 Park Ave
New York, NY 10028-0322

Phone

(212) 860-0670

Fax

(212) 717-2701

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tpfeifer68129@northwell.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hamptons Plastic Surgery, PLLC

  • Plastic Surgery Physician
  • Quogue, NY
  • NPI 1811501729
  NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1255428546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 5TH AVENUE",
            "address_2": "DOCTOR'S OFFICE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-860-0670",
            "fax_number": "212-861-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280322",
            "telephone_number": "212-860-0670",
            "fax_number": "212-717-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFER",
        "first_name": "TRACY",
        "middle_name": "MARLENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "192707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Ann Pfeffer, PHD
• Kristen Pfeffer, MSW
• Robert D Pfeffer, MD
• Christine Pfeifer, NP
• Samantha M Pfeifer, MD
• Travis Pfeifer, OD
• Elisheva Pfeiffer, O.D.
• Enya Pfeiffer
• Giuliette A Pfeiffer
• Richard H Pfeiffer, M.DIV., PH.D.

• Plastic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.