NPIMap

Individual provider Active NPI

Alexander Haosi Sun, MD, MHS

  • Plastic Surgery Physician
  • Roslyn, NY
National Provider Identifier
1952899361
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
334889 Issued in NY
Practice address
1045 Northern Blvd FL 2
Roslyn, NY 11576-1502
Phone
(516) 279-2616
NPI assigned
May 1, 2018
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 334889 NY Primary

Addresses

Primary practice location

1045 Northern Blvd FL 2
Roslyn, NY 11576-1502

Mailing address

1045 Northern Blvd FL 2
Roslyn, NY 11576-1502
Phone (516) 279-2616

Other practice location 1

461 Park Ave S
New York, NY 10016-6822
Phone (516) 279-2616

Other practice location 2

4906 Merrick Rd
Massapequa Park, NY 11762-3803
Phone (516) 279-2616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Yale University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeremy Nikfarjam, MD, P.C.Group PAC ID 4880018431, 2 clinicians

Practice addresses (Care Compare)

1045 Northern Blvd
FL 2
Roslyn, NY 11576-1502
Phone (516) 695-9344

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jeremy Nikfarjam Medical, PC CurrentSince Nov 9, 2025 Accepting new patients

Locations

4906 Merrick Rd
Massapequa Park, NY 11762
Phone (516) 279-2616

1045 Northern Blvd
Fl 2
Roslyn, NY 11576
Phone (516) 279-2616

Interoperability endpoints

  • Direct secure messaging: asun746818@nyumc.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1952899361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 NORTHERN BLVD FL 2",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761502",
            "telephone_number": "516-279-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 NORTHERN BLVD FL 2",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761502",
            "telephone_number": "516-279-2616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "461 Park Ave S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166822",
            "country_code": "US",
            "telephone_number": "516-279-2616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4906 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Massapequa Park",
            "state": "NY",
            "postal_code": "117623803",
            "country_code": "US",
            "telephone_number": "516-279-2616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "ALEXANDER",
        "middle_name": "HAOSI",
        "name_prefix": "Dr.",
        "credential": "MD, MHS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "334889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

Verify at the official NPI Registry.