Organization Active NPI

Bronxville Plastic Surgery, PC

  • Plastic and Reconstructive Surgery Physician
  • Bronxville, NY
National Provider Identifier
1891346540
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
BRONXVILLE PLASTIC SURGERY, PC
Practice address
130 Pondfield Rd Ste 11
Bronxville, NY 10708-4016
Phone
(914) 776-0505
Fax
(914) 274-8120
NPI assigned
Sep 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Authorized official

Name
Dr. Hiyad Al-Husaini, MDNPI 1770543035
Title
President
Phone
(914) 776-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

130 Pondfield Rd Ste 11
Bronxville, NY 10708-4016

Mailing address

130 Pondfield Rd Ste 11
Bronxville, NY 10708-4016
Phone (914) 776-0505

National Provider Directory

National Provider Directory

Locations

130 Pondfield Rd
Ste 11
Bronxville, NY 10708
Phone (914) 776-0505

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1891346540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PONDFIELD RD STE 11",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107084016",
            "telephone_number": "914-776-0505",
            "fax_number": "914-274-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PONDFIELD RD STE 11",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107084016",
            "telephone_number": "914-776-0505",
            "fax_number": "914-274-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONXVILLE PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "AL-HUSAINI",
        "authorized_official_first_name": "HIYAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-776-0505",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.