Active NPI
Ivy Associates, L.L.C.
Doing business as Ivy Plastic Surgery Associates
- Plastic Surgery Physician
- Chevy Chase, MD
National Provider Identifier
1447370192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- IVY ASSOCIATES, L.L.C.
- Doing business as
- Ivy Plastic Surgery Associates
- Practice address
- 5454 Wisconsin Ave
The Barlow Building, Suite 1710
Chevy Chase, MD 20815-6901 - Phone
- (301) 654-2030
- NPI assigned
- Mar 29, 2007
- Last updated
- Jun 21, 2018
- 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
- Pablo Otero
- Title
- President
- Phone
- (202) 785-4298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
5454 Wisconsin Ave
The Barlow Building, Suite 1710
Chevy Chase, MD 20815-6901
Mailing address
5454 Wisconsin Ave
The Barlow Building, Suite 1710
Chevy Chase, MD 20815-6901
Phone (301) 654-2030
Other names 1
- Ivy Plastic Surgery Associates
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- McLean, VA
- NPI 1225068786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1447370192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "THE BARLOW BUILDING, SUITE 1710",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-654-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "THE BARLOW BUILDING, SUITE 1710",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-654-2030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVY ASSOCIATES, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "OTERO",
"authorized_official_first_name": "PABLO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "202-785-4298"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ivy Plastic Surgery Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.