Organization Active NPI

Marotta Facial Plastic Surgery, PC

Doing business as Marotta Plastic Surgery Specialists

  • Specialist
  • Smithtown, NY
National Provider Identifier
1699967448
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
230577 Issued in NY
Legal business name
MAROTTA FACIAL PLASTIC SURGERY, PC
Doing business as
Marotta Plastic Surgery Specialists
Practice address
895 W Jericho Tpke
Smithtown, NY 11787-3229
Phone
(631) 982-2022
Fax
(631) 982-2024
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
James Christopher Marotta, MDNPI 1942366968
Title
Owner
Phone
(631) 982-2022

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: 193400000X SINGLE SPECIALTY GROUP 174400000X 230577 NY Primary

Addresses

Primary practice location

895 W Jericho Tpke
Smithtown, NY 11787-3229

Mailing address

895 W Jericho Tpke
Smithtown, NY 11787-3229
Phone (631) 982-2022

Other names 1

  • Marotta Plastic Surgery Specialists Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1095242Marotta Facial Plastic Surgery895 West Jericho Turnpike, Smithtown, NY 11787Certificate of waiverFeb 4, 2027

National Provider Directory

National Provider Directory

Locations

267 E Middle Country Rd
Bldg B
Smithtown, NY 11787
Phone (631) 656-9730

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": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1699967448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873229",
            "telephone_number": "631-982-2022",
            "fax_number": "631-982-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873229",
            "telephone_number": "631-982-2022",
            "fax_number": "631-982-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAROTTA FACIAL PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "MAROTTA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-982-2022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "230577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marotta Plastic Surgery Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.