Organization Active NPI

Nycplasticsurg PLLC

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1871875880
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
239015 Issued in NY
Legal business name
NYCPLASTICSURG PLLC
Practice address
935 Park Ave Ste 1B
New York, NY 10028-0212
Phone
(801) 652-1232
Fax
(212) 628-8881
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Dr. Rafael Gerardo Magana, MD
Title
Owner
Phone
(801) 652-1232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 239015 NY Primary

Addresses

Primary practice location

935 Park Ave Ste 1B
New York, NY 10028-0212

Mailing address

935 Park Ave Ste 1B
New York, NY 10028-0212
Phone (801) 652-1232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1871875880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 PARK AVE STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280212",
            "telephone_number": "801-652-1232",
            "fax_number": "212-628-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 PARK AVE STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280212",
            "telephone_number": "801-652-1232",
            "fax_number": "212-628-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYCPLASTICSURG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "MAGANA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "GERARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-652-1232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "239015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.