Organization Active NPI

Manhattan Facial Plastics & Reconstruction

  • Facial Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1407076565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
198258 Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.