Cosmoplastic Surgery PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

213702-1 Issued in NY

Legal business name

COSMOPLASTIC SURGERY PLLC

Practice address

500 N Broadway
Suite 200
Jericho, NY 11753-2127

Phone

(929) 800-1887

NPI assigned

Nov 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kaveh Alizadeh, M.D.

Title

Owner

Phone

(908) 490-0036

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeffrey Howard Graf, M.D.

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1386629897
  NPD (past)

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1922404094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S PARK PL",
            "address_2": "# 298",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N BROADWAY",
            "address_2": "SUITE 200",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532127",
            "telephone_number": "929-800-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMOPLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "ALIZADEH",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-490-0036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "213702-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami Lynn Cohen
• Molly Collins, PA-C
• Kerrianne Bridget Connors, M.A., CCC-SLP
• Renee Cooke, ANP
• Nestor Luis Cora, LMT
• CVS Albany LLC
• Paulina Czerkas
• DBM Medical PLLC
• Samantha Jenna Debello
• Julia Marie Deedy X, LMSW

• Plastic and Reconstructive Surgery Physician in Jericho, NY
• Providers in Jericho, 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 Nov 17, 2014; 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.