Fairfield Plastic Surgery, LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

047323 Issued in CT

Legal business name

FAIRFIELD PLASTIC SURGERY, LLC

Practice address

140 Sherman St
3Rd Floor
Fairfield, CT 06824-5849

Phone

(718) 672-3016

Fax

(718) 672-4251

NPI assigned

Jul 5, 2011

Last updated

May 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Yan, M.D.

Title

President

Phone

(718) 672-3016

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aimee S. Altschul-Latzman, M.D.

  • Allergy & Immunology Physician
  • Fairfield, CT
  • NPI 1003855859
  NPD (past)

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1265729842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SHERMAN ST",
            "address_2": "3RD FLOOR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245849",
            "telephone_number": "718-672-3016",
            "fax_number": "718-672-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SHERMAN ST",
            "address_2": "3RD FLOOR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245849",
            "telephone_number": "718-672-3016",
            "fax_number": "718-672-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-672-3016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CT",
            "license": "047323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairfield Optical, Inc. (Cohen's Fashion Optical)
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• Fairfield Pediatric Speech Therapy
• Fairfield Pediatrics Inc
• Fairfield Periodontics, LLC
• Fairfield Podiatry Associates LLC
• Fairfield Psychiatry,LLC
• Fairfield Public Schools
• Fairfield Rehab Services LLC
• Fairfield Smiles PC

• Plastic and Reconstructive Surgery Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Plastic and Reconstructive Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.