Organization Active NPI

Millennial Plastic Surgery PLLC

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
National Provider Identifier
1477472181
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
MILLENNIAL PLASTIC SURGERY PLLC
Practice address
56 W 45TH St FL 4
New York, NY 10036-4215
Phone
(212) 421-7123
Fax
(646) 851-0423
NPI assigned
Jul 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Dr. David Shokrian
Title
Owner
Phone
(516) 209-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

56 W 45TH St FL 4
New York, NY 10036-4215

Mailing address

56 W 45TH St FL 4
New York, NY 10036-4215
Phone (212) 421-7123

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2175039Millennial Plastic Surgery PLLC56 W 45TH Street 4TH FL, New York, NY 10036Certificate of waiverNov 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Millennial Plastic Surgery PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

56 W 45th St
Fl 4
New York, NY 10036

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1477472181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W 45TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364215",
            "telephone_number": "212-421-7123",
            "fax_number": "646-851-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W 45TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364215",
            "telephone_number": "212-421-7123",
            "fax_number": "646-851-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIAL PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "SHOKRIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-209-7400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "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 Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.