Individual provider Active NPI

Cristina Dracea, MD

  • Plastic Surgery Physician
  • East Setauket, NY
National Provider Identifier
1366691479
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
262328 Issued in NY
Practice address
179 Belle Meade Rd, Suite 1
Suffolk Plastic Surgeons, PC
East Setauket, NY 11733
Phone
(631) 751-4400
Fax
(631) 689-2375
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 262328 NY Primary

Addresses

Primary practice location

179 Belle Meade Rd, Suite 1
Suffolk Plastic Surgeons, PC
East Setauket, NY 11733

Mailing address

179 Belle Meade Rd, Suite 1
Suffolk Plastic Surgeons, PC
East Setauket, NY 11733
Phone (631) 751-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420000875 NY Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 1254639537

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": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1366691479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 BELLE MEADE RD, SUITE 1",
            "address_2": "SUFFOLK PLASTIC SURGEONS, PC",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-751-4400",
            "fax_number": "631-689-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 BELLE MEADE RD, SUITE 1",
            "address_2": "SUFFOLK PLASTIC SURGEONS, PC",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-751-4400",
            "fax_number": "631-689-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRACEA",
        "first_name": "CRISTINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "262328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.