Active NPI
Aristocrat Plastic Surgery PC
- Specialist
- Great Neck, NY
National Provider Identifier
1821180407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 214939
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2995192 | Other | NY | OXFORD PROVIDER ID NUMBER |
| N84003 | Other | NY | ACS HEALTH NET |
| 02463385 | Medicaid | NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2172004 | Aristocrat at Plastic Surgery | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic Surgery Physician
- Houston, TX
- NPI 1447813217
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.