Organization Active NPI

The Plastic and Reconstructive Surgery Group, PC

  • Plastic and Reconstructive Surgery Physician
  • Greenwich, CT
National Provider Identifier
1922515006
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
THE PLASTIC AND RECONSTRUCTIVE SURGERY GROUP, PC
Practice address
2 Greenwich Office Park Ste 210
Greenwich, CT 06831-5155
Phone
(203) 863-0003
Fax
(212) 265-1776
NPI assigned
Jan 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Authorized official

Name
Dr. David GreenspunNPI 1336248970
Title
Ceo
Phone
(212) 744-1200

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

2 Greenwich Office Park Ste 210
Greenwich, CT 06831-5155

Mailing address

1776 Broadway Ste 1200
New York, NY 10019-2007

Other practice location 1

77 Lafayette Pl Ste 302
Greenwich, CT 06830-5426
Phone (212) 744-1200

National Provider Directory

National Provider Directory

Locations

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

2 Greenwich Office Park
Ste 210
Greenwich, CT 06831
Phone (203) 863-0003

77 Lafayette Pl
Ste 302
Greenwich, CT 06830
Phone (203) 863-4250

2 Greenwich Office Park
Ste 21
Greenwich, CT 06831

Practitioners & affiliated clinicians

Practitioners 4

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": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1922515006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 BROADWAY STE 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GREENWICH OFFICE PARK STE 210",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315155",
            "telephone_number": "203-863-0003",
            "fax_number": "212-265-1776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Lafayette Pl Ste 302",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068305426",
            "country_code": "US",
            "telephone_number": "212-744-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE PLASTIC AND RECONSTRUCTIVE SURGERY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "GREENSPUN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-744-1200",
        "authorized_official_name_prefix": "Dr."
    },
    "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 Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.