Organization Active NPI

MMC Plastic Surgery FPP

  • Plastic Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1285952804
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
MMC PLASTIC SURGERY FPP
Practice address
745 64TH St
Brooklyn, NY 11220-4745
Phone
(718) 283-7022
NPI assigned
May 6, 2010
Organization subpart
Yes
Parent organization
MAIMONIDES MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Dr. Lloyd B Gayle, MDNPI 1447270392
Title
Chief, Plastic Surgery
Phone
(718) 765-2570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

745 64TH St
Brooklyn, NY 11220-4745

Mailing address

PO Box 30074
New York, NY 10087-0074

Other identifiers 1

IdentifierTypeStateIssuer
01361999MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120111000551 NY Part B Supplier - Clinic/Group Practice 5193992329 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Part of
New York Vascular Care PL

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1285952804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30074",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 64TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204745",
            "telephone_number": "718-283-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC PLASTIC SURGERY FPP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAIMONIDES MEDICAL CENTER",
        "enumeration_date": "2010-05-06",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF, PLASTIC SURGERY",
        "authorized_official_telephone_number": "718-765-2570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01361999",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.