Active NPI
Ny Breast Surgery PLLC
- Surgery Physician
- New York, NY
National Provider Identifier
1659955656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Magdalena Plasilova, MD PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- New York, NY
- NPI 1841456985
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": []
}
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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.