Organization Active NPI

Dym Plastic Surgery PC

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1780221804
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
DYM PLASTIC SURGERY PC
Practice address
1165 Park Ave
New York, NY 10128-1248
Phone
(212) 920-6800
NPI assigned
Dec 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Joseph Brugess, CPC
Title
Administrator
Phone
(718) 532-4050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

1165 Park Ave
New York, NY 10128-1248

Mailing address

1200 5TH Ave Apt 7N
New York, NY 10029-5208
Phone (917) 538-1366

Other practice location 1

740 Park Ave
New York, NY 10021-4251
Phone (718) 532-4050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1780221804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 5TH AVE APT 7N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295208",
            "telephone_number": "917-538-1366",
            "fax_number": "833-821-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281248",
            "telephone_number": "212-920-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Park Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214251",
            "country_code": "US",
            "telephone_number": "718-532-4050",
            "fax_number": "833-821-5297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DYM PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "BRUGESS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-532-4050",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.