Beraka MD Plastic Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

BERAKA MD PLASTIC SURGERY PLLC

Practice address

875 Park Ave
New York, NY 10075-0341

Phone

(212) 288-1122

Fax

(212) 288-1129

NPI assigned

Nov 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. George Beraka, MD

Title

Owner

Phone

(212) 288-1122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1790964229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750341",
            "telephone_number": "212-288-1122",
            "fax_number": "212-288-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750341",
            "telephone_number": "212-288-1122",
            "fax_number": "212-288-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERAKA MD PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "BERAKA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-288-1122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa E Benzuly
• Sasha H. Beovich, RPA-C
• Filamae Bequeso
• Roee Ber, MD
• Patricia Marie Beraducci, OTR
• George Joseph Beraka, M.D.
• Yohana Kidane Beraki
• Jonathan Berall, M.D.
• Tammy Beram
• Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, M.D., P.C. (Manhattan Diagnostic Radiology)

• Plastic Surgery Physician in New York, NY
• Providers in New York, 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 Nov 1, 2007; 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.