Capital Region Cosmetic Surgery, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

CAPITAL REGION COSMETIC SURGERY, LLC

Practice address

5 Ulenski Dr
Albany, NY 12205-1103

Phone

(518) 724-2444

Fax

(518) 724-2445

NPI assigned

Jan 12, 2022

Last updated

Jun 22, 2022By 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

Susan K Street

Title

Practice Administrator

Phone

(518) 724-2444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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.

• William F. Deluca Jr., M.D.

  • Plastic Surgery Physician
  • Albany, NY
  • NPI 1235104183
  Medicare reassignment Care Compare group NPD
• David M Tauber, MD

  • Plastic Surgery Physician
  • Albany, NY
  • NPI 1952560096
  Medicare reassignment Care Compare group NPD
• Alan Yan, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Albany, NY
  • NPI 1558543611
  Medicare reassignment NPD

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1346991270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ULENSKI DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051103",
            "telephone_number": "518-724-2444",
            "fax_number": "518-724-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ULENSKI DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051103",
            "telephone_number": "518-724-2444",
            "fax_number": "518-724-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL REGION COSMETIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "518-724-2444"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capital Pulmonary-Intensivist Physician, P.C. (CPI Physicians, P.C: assumed name as of 4/23/04)
• Capital Radiology Associates LLP
• Capital Region Ambulatory Surgery Center, L.L.C.
• Capital Region Cardiology Associates, P.C.
• Capital Region Comprehensive Medicine PLLC
• Capital Region Dentistry and Oral Surgery, PLLC (Reilly Gelder OMS)
• Capital Region Foot Care PLLC
• Capital Region Home Care LLC (Right at Home Albany)
• Capital Region Mental Health Counseling PLLC
• Capital Region Open MRI, Inc

• Plastic Surgery Physician in Albany, NY
• Providers in Albany, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.