Gold Coast Plastic Surgery and Laser Center, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

048229 Issued in CT

Legal business name

GOLD COAST PLASTIC SURGERY AND LASER CENTER, LLC

Practice address

999 Summer St
Suite 401
Stamford, CT 06905-5546

Phone

(203) 920-1444

Fax

(866) 920-5178

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Chang Soo Kim, M.D.

Title

Director

Phone

(732) 233-4050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1568770428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SUMMER ST",
            "address_2": "SUITE 401",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055546",
            "telephone_number": "203-920-1444",
            "fax_number": "866-920-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SUMMER ST",
            "address_2": "SUITE 401",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055546",
            "telephone_number": "203-920-1444",
            "fax_number": "866-920-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST PLASTIC SURGERY AND LASER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHANG",
        "authorized_official_middle_name": "SOO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-233-4050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "048229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn E. Ostriker, M.D.
• Scott Evan Glucksman, LATC
• Jansi Gnanasekaran, MD
• Susanne Godsey, PA-C
• Yashvi Gogri
• Gold Coast Rehabilitation Medicine
• Jessica Rochelle Goldberg, LMSW
• Jodie Lynn Goldberg, LMSW
• Paul Aaron Goldberg, MD
• Erica D Goldberger, M.D.

• Plastic Surgery Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Plastic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.