Fifth Avenue Millennium Aesthetic Surgery PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FIFTH AVENUE MILLENNIUM AESTHETIC SURGERY PLLC

Practice address

1125 5TH Ave
New York, NY 10128-0143

Phone

(212) 288-9800

Fax

(212) 860-7446

NPI assigned

Jun 4, 2008

Last updated

Jun 4, 2008By 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

Dr. Leo Keegan, M.D.NPI 1114934783

Title

Partner

Phone

(212) 288-9800

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.

• Leo M Keegan Jr., M.D.

  • Plastic Surgery Physician
  • New York, NY
  • NPI 1114934783
  Authorized official Same address or phone

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1588823652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280143",
            "telephone_number": "212-288-9800",
            "fax_number": "212-860-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280143",
            "telephone_number": "212-288-9800",
            "fax_number": "212-860-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH AVENUE MILLENNIUM AESTHETIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "KEEGAN",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "212-288-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fifth Avenue Center for Counseling and Psychotherapy, Inc.
• Fifth Avenue Medical Associates, LLC
• Fifth Avenue Medical Healthcare PC
• Fifth Avenue Medical Operatory
• Fifth Avenue Medical Services, P.C.
• Fifth Avenue Neurology, PLLC
• Fifth Avenue OB GYN Associates PC
• Fifth Avenue Oculofacial Aesthetic Surgery PC
• Fifth Avenue Office-Based Surgery, PLLC
• Fifth Avenue Optics, Inc.

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.