Individual provider Active NPI

Ron Israeli, MD

  • Plastic Surgery Physician
  • Great Neck, NY
National Provider Identifier
1396777025
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
187948 Issued in NY
Practice address
833 Northern Blvd
Suite 160
Great Neck, NY 11021-5322
Phone
(516) 498-8400
Fax
(516) 498-8404
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 187948 NY Primary

Addresses

Primary practice location

833 Northern Blvd
Suite 160
Great Neck, NY 11021-5322

Mailing address

833 Northern Blvd
Suite 160
Great Neck, NY 11021-5322
Phone (516) 498-8400

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
I20080813000292 NY Practitioner - Plastic and Reconstructive Surgery 2466527247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Boston University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aesthetic Plastic Surgery PCGroup PAC ID 7012924939, 10 clinicians

Practice addresses (Care Compare)

833 Northern Blvd
Suite 160
Great Neck, NY 11021-5322
Phone (516) 498-8400

Hospital & facility affiliations

  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • NS/Lij HS Huntington Hospital Hospital, Huntington, NY, CCN 330045
  • Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy29
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Plastic Surgery PC CurrentSince Sep 17, 2025 Accepting new patients
New York Cardiovascular Anesthesiologists, P.C. PastSince Sep 17, 2025 Accepting new patients

Locations

833 Northern Blvd
Ste 160
Great Neck, NY 11021
Phone (516) 498-8400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396777025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 NORTHERN BLVD",
            "address_2": "SUITE 160",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215322",
            "telephone_number": "516-498-8400",
            "fax_number": "516-498-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 NORTHERN BLVD",
            "address_2": "SUITE 160",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215322",
            "telephone_number": "516-498-8400",
            "fax_number": "516-498-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAELI",
        "first_name": "RON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "187948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.