Active NPI
Manhattan Facial Plastics & Reconstruction
- Facial Plastic Surgery Physician
- New York, NY
National Provider Identifier
1407076565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 198258
- Legal business name
- MANHATTAN FACIAL PLASTICS & RECONSTRUCTION
- Practice address
- 1040 Park Avenue
86TH Street
New York, NY 10028 - Phone
- (212) 452-3362
- NPI assigned
- Apr 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samieh Rizk, MD
- Title
- President
- Phone
- (212) 452-3362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 198258 | NY | Primary |
Addresses
Primary practice location
1040 Park Avenue
86TH Street
New York, NY 10028
Mailing address
1040 Park Avenue
86TH Street
New York, NY 10028
Phone (212) 452-3362
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407076565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 PARK AVENUE",
"address_2": "86TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10028",
"telephone_number": "212-452-3362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 PARK AVENUE",
"address_2": "86TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10028",
"telephone_number": "212-452-3362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANHATTAN FACIAL PLASTICS & RECONSTRUCTION",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RIZK",
"authorized_official_first_name": "SAMIEH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-452-3362",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NY",
"license": "198258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Manhattan Endoscopy PLLC
- Manhattan ENT and Facial Plastic Surgery, P.C.
- Manhattan Eye Ear and Throat Hospital
- Manhattan Eyeworks Inc.
- Manhattan Facial Plastic Surgery and Ear Nose & Throat Professional
- Manhattan Facial Surgery Suites, PLLC
- Manhattan Family Medicine, P.C.
- Manhattan Family Practice Medical PC
- Manhattan Gastroenterology Associates PC
- Manhattan Gastroenterology P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.