Organization Active NPI

New York Rhinoplasty PLLC

  • Otolaryngology Physician
  • Huntington, NY
National Provider Identifier
1891504478
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
NEW YORK RHINOPLASTY PLLC
Practice address
107 Woodbury Rd
Huntington, NY 11743-4135
Phone
(516) 366-4141
Fax
(631) 318-7680
NPI assigned
Jan 7, 2025
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Dr. Konstantin Tarashansky, MDNPI 1649458241
Title
Physician
Phone
(516) 366-4141

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
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

107 Woodbury Rd
Huntington, NY 11743-4135

Mailing address

107 Woodbury Rd
Huntington, NY 11743-4135
Phone (516) 366-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250827002200 NY Part B Supplier - Clinic/Group Practice 2961903547 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, NY

National Provider Directory

National Provider Directory

Locations

107 Woodbury Rd
Huntington, NY 11743
Phone (516) 366-4141

Practitioners & affiliated clinicians

Practitioners 1

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": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1891504478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODBURY RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434135",
            "telephone_number": "516-366-4141",
            "fax_number": "631-318-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODBURY RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434135",
            "telephone_number": "516-366-4141",
            "fax_number": "631-318-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK RHINOPLASTY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "TARASHANSKY",
        "authorized_official_first_name": "KONSTANTIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-366-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.