RR Plastic Surgery, P.C.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

230504-1 Issued in NY

Legal business name

RR PLASTIC SURGERY, P.C.

Doing business as

RR Plastix

Practice address

1616B Voorhies Ave
Brooklyn, NY 11235-3914

Phone

(718) 484-1022

NPI assigned

Jun 16, 2008

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roman Rayham, M.D.NPI 1528038072

Title

President

Phone

(917) 650-5754

Specialties & licenses 1

Addresses

Other names 1

• RR Plastix Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roman Rayham, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Rochester, MN
  • NPI 1528038072

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1760642318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616B VOORHIES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353914",
            "telephone_number": "718-484-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616B VOORHIES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353914",
            "telephone_number": "718-484-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RR PLASTIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "RAYHAM",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-650-5754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "230504-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RR Plastix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Plastic Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.