Active NPI
Manhattan Facial Plastic Surgery and Ear Nose & Throat Professional
- Otolaryngology/Facial Plastic Surgery Physician
- New York, NY
National Provider Identifier
1609484492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- Legal business name
- MANHATTAN FACIAL PLASTIC SURGERY AND EAR NOSE & THROAT PROFESSIONAL
- Practice address
- 400 East 20TH Street Ste 3F
New York, NY 10009 - Phone
- (212) 381-6110
- Fax
- (212) 381-6110
- NPI assigned
- Jul 17, 2020
- 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
- Diane Williams
- Title
- Credentialing Consultant
- Phone
- (570) 801-1847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | Primary |
Addresses
Primary practice location
400 East 20TH Street Ste 3F
New York, NY 10009
Mailing address
400 E 20TH St Apt 3F
New York, NY 10009-8105
Phone (212) 381-6110
National Provider Directory
National Provider DirectoryLocations
335 E 14th St
Unit 412
New York, NY 10009
247 3rd Ave
Rm 404
New York, NY 10010
Phone (212) 381-6110
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Facial Plastic Surgery Physician
- Great Neck, NY
- NPI 1033377213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610409600000",
"number": "1609484492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 20TH ST APT 3F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100098105",
"telephone_number": "212-381-6110",
"fax_number": "212-381-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EAST 20TH STREET STE 3F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10009",
"telephone_number": "212-381-6110",
"fax_number": "212-381-6110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANHATTAN FACIAL PLASTIC SURGERY AND EAR NOSE & THROAT PROFESSIONAL",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-17",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "CREDENTIALING CONSULTANT",
"authorized_official_telephone_number": "570-801-1847"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Manhattan Endoscopy Center LLC
- Manhattan Endoscopy PLLC
- Manhattan ENT and Facial Plastic Surgery, P.C.
- Manhattan Eye Ear and Throat Hospital
- Manhattan Eyeworks Inc.
- Manhattan Facial Plastics & Reconstruction
- Manhattan Facial Surgery Suites, PLLC
- Manhattan Family Medicine, P.C.
- Manhattan Family Practice Medical PC
- Manhattan Gastroenterology Associates PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.