Brandon M. Elnekaveh, MD PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

BRANDON M. ELNEKAVEH, MD PLLC

Practice address

394 E Shore Rd
Great Neck, NY 11023-2402

Phone

(516) 603-9155

NPI assigned

May 30, 2023

Organization subpart

No

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

Authorized official

Name

Brandon Mordeccai Elnekaveh, MD

Title

Owner

Phone

(516) 603-9155

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1881387561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 E SHORE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232402",
            "telephone_number": "516-603-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 E SHORE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232402",
            "telephone_number": "516-603-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON M. ELNEKAVEH, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "ELNEKAVEH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MORDECCAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-603-9155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tierra Boyd
• Bradley M Fischman
• Lea Brady, OTR/L
• Rhoda Adrian Braff, PHD PSYCHOLOGY
• Sabrina Brancaccio-Cantore, M.S. ED
• Carol Ruth Bravmann, PH.D
• Marisa Brazak
• Alison Brennan, PH.D.
• Brian D. Cohen, M.D., PLLC
• Jaclyn Taylor Brigandi

• Plastic and Reconstructive Surgery Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Plastic and Reconstructive Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.