Organization Active NPI

Altris Plastic Surgery PLLC.

Doing business as Altris Reconstructive Wellness

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
National Provider Identifier
1417851445
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
ALTRIS PLASTIC SURGERY PLLC.
Doing business as
Altris Reconstructive Wellness
Practice address
125 E 69TH St
New York, NY 10021-5022
Phone
(917) 633-5750
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Vishal Thanik, MD
Title
Co-Founder
Phone
(347) 237-7715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X NU Primary

Addresses

Primary practice location

125 E 69TH St
New York, NY 10021-5022

Mailing address

125 E 69TH St
New York, NY 10021-5022
Phone (917) 633-5750

Other names 1

  • Altris Reconstructive Wellness Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1417851445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215022",
            "telephone_number": "917-633-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215022",
            "telephone_number": "917-633-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTRIS PLASTIC SURGERY PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "THANIK",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "347-237-7715",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altris Reconstructive Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.