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 NPI 1528404993
Title
Ceo/Owner
Phone
(860) 912-4076

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

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

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 4, 2024.

{
    "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

All providers in Beverly Hills, CA · Plastic and Reconstructive Surgery Physician in California

Sources for this page

Verify at the official NPI Registry.