Nyc Reconstructive Surgery, PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

161860 Issued in NY

Legal business name

NYC RECONSTRUCTIVE SURGERY, PC

Practice address

850 Park Ave
New York, NY 10075-1845

Phone

(212) 988-4040

Fax

(212) 988-0527

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Darrick E. Antell, MDNPI 1669531331

Title

President

Phone

(212) 988-4040

Specialties & licenses 1

Addresses

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.

• Darrick E Antell, M.D.

  • Specialist
  • New York, NY
  • NPI 1669531331
  Authorized official Same address or phone

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1548508963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751845",
            "telephone_number": "212-988-4040",
            "fax_number": "212-988-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751845",
            "telephone_number": "212-988-4040",
            "fax_number": "212-988-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC RECONSTRUCTIVE SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "ANTELL",
        "authorized_official_first_name": "DARRICK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-988-4040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "161860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.