Active NPI
Plastic and Reconstructive Breast Surgery PLLC
- Plastic and Reconstructive Surgery Physician
- New York, NY
National Provider Identifier
1548645260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 245976
- Legal business name
- PLASTIC AND RECONSTRUCTIVE BREAST SURGERY PLLC
- Practice address
- 499 7TH Ave
FL 20N
New York, NY 10018-6803 - Phone
- (917) 716-3724
- Fax
- (718) 672-4251
- NPI assigned
- Jul 23, 2015
- Last updated
- Jul 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Agag, M.D.
- Title
- Owner
- Phone
- (917) 716-3724
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 245976 | NY | Primary |
Addresses
Primary practice location
499 7TH Ave
FL 20N
New York, NY 10018-6803
Mailing address
499 7TH Ave
FL 20N
New York, NY 10018-6803
Phone (917) 716-3724
National Provider Directory
National Provider DirectoryLocations
499 7th Ave
Fl 20N
New York, NY 10018
Phone (917) 716-3724
Practitioners & affiliated clinicians
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.
-
- Plastic Surgery Physician
- New Brunswick, NJ
- NPI 1497937486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437609600000",
"number": "1548645260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 7TH AVE",
"address_2": "FL 20N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100186803",
"telephone_number": "917-716-3724",
"fax_number": "718-672-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 7TH AVE",
"address_2": "FL 20N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100186803",
"telephone_number": "917-716-3724",
"fax_number": "718-672-4251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC AND RECONSTRUCTIVE BREAST SURGERY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-23",
"last_updated": "2015-07-23",
"status": "A",
"authorized_official_last_name": "AGAG",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-716-3724",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NY",
"license": "245976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Tracey Yvonne Plaskett, RN
- Grace C Plassche
- Beatrice R. Plasse, LCSW , DSW
- Harvey M Plasse, M.D.
- Terry Plasse, MD
- Plastic Surgery and Dermatology of Nyc PLLC
- Plastic Surgery and Skincare, PLLC (Marnie Nussbaum Dermatology)
- Plastic Surgery of Manhattan PC
- Plastic Surgery Operations, PLLC (590 5th Avenue Surgical Suites)
- Marc Plastrik
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.