Active NPI
Island Plastic Surgery, PC
- Surgery of the Hand (Surgery) Physician
- Smithtown, NY
National Provider Identifier
1679228993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- Legal business name
- ISLAND PLASTIC SURGERY, PC
- Practice address
- 329 E Main St Ste 4
Smithtown, NY 11787-2821 - Phone
- (631) 540-0022
- Fax
- (631) 540-0030
- NPI assigned
- Feb 15, 2022
- 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
- Adriana Puglisi
- Title
- Billing/Practice Manager
- Phone
- (631) 540-0022
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | |||
| Surgery of the Hand (Surgery) Physician | 2086S0105X | Primary |
Addresses
Primary practice location
329 E Main St Ste 4
Smithtown, NY 11787-2821
Mailing address
329 E Main St Ste 4
Smithtown, NY 11787-2821
Phone (631) 540-0022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
329 E Main St
Ste 4
Smithtown, NY 11787
Phone (631) 540-0022
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": "1644883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644883200000",
"number": "1679228993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 E MAIN ST STE 4",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872821",
"telephone_number": "631-540-0022",
"fax_number": "631-540-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 E MAIN ST STE 4",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872821",
"telephone_number": "631-540-0022",
"fax_number": "631-540-0030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND PLASTIC SURGERY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-15",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A",
"authorized_official_last_name": "PUGLISI",
"authorized_official_first_name": "ADRIANA",
"authorized_official_title_or_position": "BILLING/PRACTICE MANAGER",
"authorized_official_telephone_number": "631-540-0022"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgery of the Hand",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.