Organization Active NPI

Ny Breast Surgery PLLC

  • Surgery Physician
  • New York, NY
National Provider Identifier
1659955656
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NY BREAST SURGERY PLLC
Practice address
400 E 54TH St
New York, NY 10022-5164
Phone
(917) 992-7243
NPI assigned
May 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Magdalena Plasilova, MD PHDNPI 1841456985
Title
Principal
Phone
(917) 992-7243

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

400 E 54TH St
New York, NY 10022-5164

Mailing address

400 E 54TH St
New York, NY 10022-5164
Phone (917) 992-7243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210608001062 NY Part B Supplier - Clinic/Group Practice 2567862840 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

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": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1659955656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 54TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225164",
            "telephone_number": "917-992-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 54TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225164",
            "telephone_number": "917-992-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY BREAST SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "PLASILOVA",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "917-992-7243",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.