Organization Active NPI

Aristocrat Plastic Surgery PC

  • Specialist
  • Great Neck, NY
National Provider Identifier
1821180407
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
214939 Issued in NY
Legal business name
ARISTOCRAT PLASTIC SURGERY PC
Practice address
560 Northern Blvd
Suite 109
Great Neck, NY 11021-5100
Phone
(516) 498-9790
Fax
(516) 498-9796
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Dr. Kayvon Tehrani, M.D.
Title
Director
Phone
(516) 498-9790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 214939 NY Primary

Addresses

Primary practice location

560 Northern Blvd
Suite 109
Great Neck, NY 11021-5100

Mailing address

560 Northern Blvd
Suite 109
Great Neck, NY 11021-5100
Phone (516) 498-9790

Other practice location 1

33 W 56th St Fl 1
New York, NY 10019-3994
Phone (332) 529-3067

Other identifiers 3

IdentifierTypeStateIssuer
P2995192OtherNYOXFORD PROVIDER ID NUMBER
N84003OtherNYACS HEALTH NET
02463385MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2172004Aristocrat at Plastic Surgery33 W 56TH St - 1St Floor, New York, NY 10019Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

560 Northern Blvd
Ste 109
Great Neck, NY 11021
Phone (516) 498-9790

Practitioners & affiliated clinicians

Practitioners 1

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1821180407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 NORTHERN BLVD",
            "address_2": "SUITE 109",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215100",
            "telephone_number": "516-498-9790",
            "fax_number": "516-498-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 NORTHERN BLVD",
            "address_2": "SUITE 109",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215100",
            "telephone_number": "516-498-9790",
            "fax_number": "516-498-9796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 W 56th St Fl 1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100193994",
            "country_code": "US",
            "telephone_number": "332-529-3067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARISTOCRAT PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "TEHRANI",
        "authorized_official_first_name": "KAYVON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-498-9790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "214939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER ID NUMBER",
            "identifier": "P2995192",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTH NET",
            "identifier": "N84003",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02463385",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.