Organization Active NPI

Plastic Surgery Practice of Connecticut

  • Plastic Surgery Physician
  • Greenwich, CT
National Provider Identifier
1285080416
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PLASTIC SURGERY PRACTICE OF CONNECTICUT
Practice address
44 Amogerone Crossway # 8151
Greenwich, CT 06830-9993
Phone
(631) 368-1541
Fax
(631) 368-1538
NPI assigned
May 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Authorized official

Name
Mat James
Title
Billing Manager
Phone
(631) 368-1541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

44 Amogerone Crossway # 8151
Greenwich, CT 06830-9993

Mailing address

PO Box 263
Manhasset, NY 11030-0263
Phone (631) 368-1541

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1285080416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 263",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110300263",
            "telephone_number": "631-368-1541",
            "fax_number": "631-368-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 AMOGERONE CROSSWAY # 8151",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068309993",
            "telephone_number": "631-368-1541",
            "fax_number": "631-368-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY PRACTICE OF CONNECTICUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MAT",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-368-1541"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.