Individual provider Active NPI

Ted Chaglassian

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1346331980
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
123470 Issued in NY
Practice address
1001 5TH Ave
New York, NY 10028-0107
Phone
(212) 472-7186
Fax
(212) 472-8608
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 123470 NY Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 123470 NY
Plastic and Reconstructive Surgery Physician 2086S0122X 123470 NY

Addresses

Primary practice location

1001 5TH Ave
New York, NY 10028-0107

Mailing address

1001 5TH Ave
New York, NY 10028-0107
Phone (212) 472-7186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1346331980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280107",
            "telephone_number": "212-472-7186",
            "fax_number": "212-472-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280107",
            "telephone_number": "212-472-7186",
            "fax_number": "212-472-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAGLASSIAN",
        "first_name": "TED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "123470",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "NY",
            "license": "123470",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "123470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.