New York Otolaryngology & Aesthetic Surgery PC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

226427 Issued in NY

Legal business name

NEW YORK OTOLARYNGOLOGY & AESTHETIC SURGERY PC

Practice address

1783 W 6TH St
Brooklyn, NY 11223-1321

Phone

(718) 645-2555

Fax

(718) 645-1333

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rajendra D Bhayani, M.D.NPI 1467491423

Title

President

Phone

(718) 249-9383

Specialties & licenses 1

Addresses

Other names 1

• NY Institute of Otolaryngology & Aesthetic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajendra Damodar Bhayani, MD

  • Facial Plastic Surgery Physician
  • Brooklyn, NY
  • NPI 1467491423
  Medicare reassignment Authorized official
• Mark Samuel, D.C

  • Internist Chiropractor
  • Mamaroneck, NY
  • NPI 1144237744
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1871793992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230207",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112230207",
            "telephone_number": "718-249-9383",
            "fax_number": "718-645-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 W 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231321",
            "telephone_number": "718-645-2555",
            "fax_number": "718-645-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK OTOLARYNGOLOGY & AESTHETIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "BHAYANI",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-249-9383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NY",
            "license": "226427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NY Institute of Otolaryngology & Aesthetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NY Institute of Otolaryngology & Aesthetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Otolaryngology/Facial Plastic Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Otolaryngology/Facial Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.