Millennial Plastic Surgery PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

MILLENNIAL PLASTIC SURGERY PLLC

Practice address

128 E 62ND St
New York, NY 10065-9018

Phone

(516) 673-6633

NPI assigned

Sep 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Marc Everett, MDNPI 1619258886

Title

Co-Founder

Phone

(516) 673-6633

Specialties & licenses 2

Addresses

Tax ID family

Millennial Plastic Surgery PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Millennial Plastic Surgery PLLC

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
  • NPI 1477472181
  NPD tax ID

Practitioners 2

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

• Marc Everett, MD

  • Plastic Surgery Physician
  • New York, NY
  • NPI 1619258886
  NPD Authorized official
• David Shokrian, MD

  • Surgery Physician
  • Great Neck, NY
  • NPI 1811253081
  NPD

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1912426735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E 62ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100659018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E 62ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100659018",
            "telephone_number": "516-673-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIAL PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "516-673-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millbasin Radiology PC
• Mikella Millen, MA, LCAT, ATR-BC
• Millenia RX Corp
• Millenia Vision Corp
• Millennial Plastic Surgery PLLC
• Millennium Acupuncture P.C
• Millennium Advanced Professionals LLC
• Millennium Facial Plastic Surgery, PLLC
• Millennium Podiatry, P.C.
• Millennium Smile Dentistry, PC

• Plastic and Reconstructive Surgery Physician in New York, NY
• Providers in New York, 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 Oct 10, 2017; 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.