Organization Active NPI

K. Plastic Surgery,PLLC

  • Plastic Surgery Physician
  • Schenectady, NY
National Provider Identifier
1366769135
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
230489 Issued in NY
Legal business name
K. PLASTIC SURGERY,PLLC
Practice address
1201 Nott St
Suite 303
Schenectady, NY 12308-2589
Phone
(518) 346-0002
Fax
(518) 346-3541
NPI assigned
May 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Sanjiv Kayastha, M.D.NPI 1629023528
Title
Owner
Phone
(518) 346-0002

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 230489 NY Primary

Addresses

Primary practice location

1201 Nott St
Suite 303
Schenectady, NY 12308-2589

Mailing address

1201 Nott St
Suite 303
Schenectady, NY 12308-2589
Phone (518) 346-0002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100828000030 NY Part B Supplier - Clinic/Group Practice 6103940150 Receives reassigned benefits from 1 practitioner
Practice locations: Latham, NY

National Provider Directory

National Provider Directory

Locations

600 McClellan St
#1
Schenectady, NY 12304
Phone (518) 347-5442

1201 Nott St
Ste 303
Schenectady, NY 12308
Phone (518) 346-3125

Practitioners & affiliated clinicians

Practitioners 1

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": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1366769135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NOTT ST",
            "address_2": "SUITE 303",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589",
            "telephone_number": "518-346-0002",
            "fax_number": "518-346-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NOTT ST",
            "address_2": "SUITE 303",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589",
            "telephone_number": "518-346-0002",
            "fax_number": "518-346-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. PLASTIC SURGERY,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "KAYASTHA",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-346-0002",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "230489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.