Organization Active NPI

Otolaryngology Facial Plastic Surgery Associates

  • Specialist
  • Old Westbury, NY
National Provider Identifier
1871765628
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1433261 Issued in NY
Legal business name
OTOLARYNGOLOGY FACIAL PLASTIC SURGERY ASSOCIATES
Practice address
311 Glen Cove Rd
Old Westbury, NY 11568-1140
Phone
(516) 236-3340
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Dr. Mohsen Habib, M.D.NPI 1053498865
Title
President
Phone
(718) 833-0515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1433261 NY Primary

Addresses

Primary practice location

311 Glen Cove Rd
Old Westbury, NY 11568-1140

Mailing address

311 Glen Cove Rd
Old Westbury, NY 11568-1140
Phone (516) 236-3340

National Provider Directory

National Provider Directory

Locations

7333 6th Ave
Brooklyn, NY 11209
Phone (718) 833-0515

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1871765628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 GLEN COVE RD",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681140",
            "telephone_number": "516-236-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 GLEN COVE RD",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681140",
            "telephone_number": "516-236-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTOLARYNGOLOGY FACIAL PLASTIC SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-833-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "1433261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.