Organization Active NPI

Westchester Plastic Surgery PLLC

  • Plastic and Reconstructive Surgery Physician
  • Harrison, NY
National Provider Identifier
1770955205
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
WESTCHESTER PLASTIC SURGERY PLLC
Practice address
500 Mamaroneck Ave
Suite 211
Harrison, NY 10528-1633
Phone
(914) 771-7373
Fax
(913) 337-6757
NPI assigned
Oct 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Vadim Pisarenko, M.D.NPI 1609020981
Title
Co -Owner
Phone
(914) 771-7373

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
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

500 Mamaroneck Ave
Suite 211
Harrison, NY 10528-1633

Mailing address

500 Mamaroneck Ave
Suite 211
Harrison, NY 10528-1633
Phone (914) 771-7373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160126000685 NY Part B Supplier - Clinic/Group Practice 5092018085 Receives reassigned benefits from 3 practitioners
Practice locations: Harrison, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1770955205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAMARONECK AVE",
            "address_2": "SUITE 211",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281633",
            "telephone_number": "914-771-7373",
            "fax_number": "913-337-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAMARONECK AVE",
            "address_2": "SUITE 211",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281633",
            "telephone_number": "914-771-7373",
            "fax_number": "913-337-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "PISARENKO",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "CO -OWNER",
        "authorized_official_telephone_number": "914-771-7373",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.