Manhattan Reconstructive Office Based Surgery Practice PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

CERT# 2419 Issued in NY

Legal business name

MANHATTAN RECONSTRUCTIVE OFFICE BASED SURGERY PRACTICE PC

Practice address

853 5TH Ave
New York, NY 10065-5802

Phone

(212) 772-3220

Fax

(212) 772-3442

NPI assigned

Nov 12, 2014

Last updated

Nov 12, 2014By 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. Mauro C. Romita, M.D.NPI 1639243603

Title

Medical Director

Phone

(212) 772-3220

Specialties & licenses 1

Addresses

Other identifiers 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.

• Mauro C Romita, M.D.

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
  • NPI 1639243603
  Authorized official Same address or phone

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1780080184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100655802",
            "telephone_number": "212-772-3220",
            "fax_number": "212-772-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100655802",
            "telephone_number": "212-772-3220",
            "fax_number": "212-772-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN RECONSTRUCTIVE OFFICE BASED SURGERY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "ROMITA",
        "authorized_official_first_name": "MAURO",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-772-3220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "CERT# 2419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULATORY ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FACILITIES, INC.",
            "identifier": "CERT# 2419",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manhattan Psychotherapy Services Licensed Clinical Social Work PLLC
• Manhattan Pulmonary & Internal Medicine PC
• Manhattan Pulmonary Associates
• Manhattan Queens Pediatrics
• Manhattan Radiation Oncology PLLC
• Manhattan Reconstructive Surgery PC
• Manhattan Rehabilitation Management LLC
• Manhattan Rehabilitation Services
• Manhattan Relationship Counseling and Psychotherapy
• Manhattan Renal Associate, P.C.

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.