Alexander Neusner MD, Inc
Organization Active NPI Plastic and Reconstructive Surgery Physician · Beverly Hills, CA
NPI 1609699180 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1609699180
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 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
- Organization subpart
- No
Authorized official
- Name
- Alexander Neusner, MD
- Title
- Ceo/Owner
- Phone
- (860) 912-4076
Practitioners 1
-
Alexander David Neusner, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241218001222 | CA | Part B Supplier - Clinic/Group Practice | 2961939780 |
Receives reassigned benefits from 1 practitioner Practice locations: Beverly Hills, CA |
National Provider Directory
Locations
9701 Wilshire Blvd
#1
Beverly Hills, CA 90212
Phone (310) 275-4137
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician |
2086S0122X | Yes |
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
NPI Registry JSON
{
"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
- David M Alessi Sr.
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- Alexa Martin DMD
- Alexander Gaitanis, D.O., Inc.
- Alexander Medical Alliance, Inc.
- Alexander P. Hersel, M.D., Inc
- Alexandre Rasouli MD Inc
- Esther K Alfi
- Alfred Darryl Jumper M.D. a Professional Corporation
- Alfred G Lerner MD Inc
All providers in Beverly Hills, CA · Plastic and Reconstructive Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.