Organization Active NPI

Ivy Associates, L.L.C.

Doing business as Ivy Plastic Surgery Associates

  • Plastic Surgery Physician
  • Chevy Chase, MD
National Provider Identifier
1447370192
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.