NPIMap

Organization Active NPI

Y Plastic and Reconstructive Surgery

  • Plastic Surgery Physician
  • Woodstock, GA
National Provider Identifier
1548551815
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
061379 Issued in GA
Legal business name
Y PLASTIC AND RECONSTRUCTIVE SURGERY
Practice address
145 Towne Lake Pkwy
Suite 101
Woodstock, GA 30188-4847
Phone
(404) 822-4402
Fax
(678) 739-0041
NPI assigned
Apr 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Asaf Yalif, M.D.NPI 1467676718
Title
Owner
Phone
(404) 822-4402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X 061379 GA Primary

Addresses

Primary practice location

145 Towne Lake Pkwy
Suite 101
Woodstock, GA 30188-4847

Mailing address

145 Towne Lake Pkwy
Suite 101
Woodstock, GA 30188-4847
Phone (404) 822-4402

National Provider Directory

National Provider Directory

Locations

145 Towne Lake Pkwy
Woodstock, GA 30188
Phone (404) 822-4402

145 Towne Lake Pkwy
Ste 101
Woodstock, GA 30188
Phone (404) 822-4402

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1548551815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 TOWNE LAKE PKWY",
            "address_2": "SUITE 101",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884847",
            "telephone_number": "404-822-4402",
            "fax_number": "678-739-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 TOWNE LAKE PKWY",
            "address_2": "SUITE 101",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884847",
            "telephone_number": "404-822-4402",
            "fax_number": "678-739-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y PLASTIC AND RECONSTRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "YALIF",
        "authorized_official_first_name": "ASAF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-822-4402",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "061379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.