Organization Active NPI

Associated Plastic Surgeons & Consultants, P.C.

  • Specialist
  • Huntington, NY
National Provider Identifier
1619032265
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ASSOCIATED PLASTIC SURGEONS & CONSULTANTS, P.C.
Practice address
864 W Jericho Tpke
Huntington, NY 11743-6037
Phone
(631) 423-1000
Fax
(631) 271-6900
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Dr. Elliot Duboys, M.D.NPI 1851465561
Title
Sole Owner
Phone
(631) 423-1000

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X NY Primary

Addresses

Primary practice location

864 W Jericho Tpke
Huntington, NY 11743-6037

Mailing address

864 W. Jericho Turnpike
West Hills, NY 11743-6037
Phone (631) 423-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323001635 NY Part B Supplier - Clinic/Group Practice 9537050026 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, NY

National Provider Directory

National Provider Directory

Locations

864 W Jericho Tpke
Huntington, NY 11743
Phone (631) 423-1000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1619032265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 W. JERICHO TURNPIKE",
            "city": "WEST HILLS",
            "state": "NY",
            "postal_code": "117436037",
            "telephone_number": "631-423-1000",
            "fax_number": "631-271-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 W JERICHO TPKE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436037",
            "telephone_number": "631-423-1000",
            "fax_number": "631-271-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED PLASTIC SURGEONS & CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "DUBOYS",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "631-423-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.