Cosmetic Surgery Specialists

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COSMETIC SURGERY SPECIALISTS

Practice address

1717 Langhorne Newtown Rd Ste 150
Langhorne, PA 19047-1089

Phone

(215) 750-9400

Fax

(215) 750-7400

NPI assigned

Jan 3, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alan B Brackup, MDNPI 1417059908

Title

Medical Director

Phone

(215) 750-9400

Specialties & licenses 2

Addresses

Other identifiers 5

Locations

Practitioners 3

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.

• Alan Bart Brackup, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Langhorne, PA
  • NPI 1417059908
  Authorized official Same address or phone
• Sathyadeepak Ramesh, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Somerset, NJ
  • NPI 1053687004
  NPD
• Darrin Michael Hubert, MD

  • Plastic Surgery Physician
  • Richmond, VA
  • NPI 1942366802
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568529055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 LANGHORNE NEWTOWN RD STE 150",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471089",
            "telephone_number": "215-750-9400",
            "fax_number": "215-750-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 LANGHORNE NEWTOWN RD STE 150",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471089",
            "telephone_number": "215-750-9400",
            "fax_number": "215-750-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC SURGERY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "BRACKUP",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-750-9400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0177533000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "409559",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5114215",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2240312",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PABS HIGHMARK",
            "identifier": "409559",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci L Cook, DO
• Cornerstone Ambulatory Surgery Center LLC
• Natasha Ruth Correa
• Elisa M Corson
• Joseph M Corvasce, MD
• George N Costantino, M.D.
• Anne C Costello Jackson, MSN,CRNP
• Patrick Costello, D.OT, OTR/L
• Alice Zara Cotler, PA-C
• Graham Craig

• Clinic/Center in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.