Fern Plastic Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

188307 Issued in NY

Legal business name

FERN PLASTIC SURGERY PLLC

Practice address

166 E 61St St
New York, NY 10065-8509

Phone

(212) 207-9200

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Steven A. Fern, M.D.

Title

Owner

Phone

(212) 207-9200

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1487963153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 E 61ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658509",
            "telephone_number": "212-207-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E 61ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658509",
            "telephone_number": "212-207-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERN PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "FERN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-207-9200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "188307",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "188307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latasha Fermin
• Sophia Fermin
• Jaclyn Kaye Fermo, MSN FNP-BC
• Charles M Fermon, M.D.
• Fern Drillings
• Dana Fern, OTR
• Steven Andrew Fern, M.D.
• Beatriz Soares Fernandes Bacelar, MD
• Maria Clara Fernandes de Paula Tito Jorge
• Gabriella Fernandes Dix, MHC-LP

• Plastic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.