New Image Plastic Surgery Associates,PLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0101042741 Issued in VA

Legal business name

NEW IMAGE PLASTIC SURGERY ASSOCIATES,PLC

Practice address

1800 Town Center Dr
412
Reston, VA 20190-3215

Phone

(703) 742-8004

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Roberta L Gartside, MD

Title

Owner

Phone

(703) 742-8004

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yongsook Victoria Suh, M.D.

  • Specialist
  • Fairfax, VA
  • NPI 1174664031
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1548420243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR",
            "address_2": "412",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903215",
            "telephone_number": "703-742-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR",
            "address_2": "412",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903215",
            "telephone_number": "703-742-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW IMAGE PLASTIC SURGERY ASSOCIATES,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "GARTSIDE",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-742-8004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101042741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Reston, VA
• Providers in Reston, VA by specialty
• Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.