Organization Active NPI

Alexander Neusner MD, Inc

  • Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1609699180
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
ALEXANDER NEUSNER MD, INC
Practice address
9701 Wilshire Blvd
ML01
Beverly Hills, CA 90212-2020
Phone
(310) 598-2648
NPI assigned
Nov 4, 2024
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Alexander Neusner, MDNPI 1528404993
Title
Ceo/Owner
Phone
(860) 912-4076

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)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

9701 Wilshire Blvd
ML01
Beverly Hills, CA 90212-2020

Mailing address

13428 Contour Dr
Sherman Oaks, CA 91423-4804
Phone (860) 912-4076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241218001222 CA Part B Supplier - Clinic/Group Practice 2961939780 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

9701 Wilshire Blvd
#1
Beverly Hills, CA 90212
Phone (310) 275-4137

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.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1609699180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13428 CONTOUR DR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234804",
            "telephone_number": "860-912-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 WILSHIRE BLVD",
            "address_2": "ML01",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122020",
            "telephone_number": "310-598-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER NEUSNER MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "NEUSNER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "860-912-4076",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.