Individual provider Active NPI

Sophie Bartsich, MD FACS

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1255580130
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
240708-1 Issued in NY
Practice address
132 E 76TH St
Suite 2B
New York, NY 10021-2850
Phone
(212) 717-9200
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 240708-1 NY Primary

Addresses

Primary practice location

132 E 76TH St
Suite 2B
New York, NY 10021-2850

Mailing address

635 Madison Ave FL 14
New York, NY 10022-1009
Phone (646) 599-2969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120917000002 NY Practitioner - Plastic and Reconstructive Surgery 7012165152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
240708-1NYMDPlastic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: sbartsich67930@northwell.direct-ci.com
  • Direct secure messaging: sob2002@direct.nyp.org

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1255580130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE FL 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "646-599-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E 76TH ST",
            "address_2": "SUITE 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212850",
            "telephone_number": "212-717-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTSICH",
        "first_name": "SOPHIE",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "240708-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.