Active NPI
Certified Plastic Surgery of New York, PLLC
- Plastic Surgery Physician
- Saratoga Springs, NY
National Provider Identifier
1962723122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- CERTIFIED PLASTIC SURGERY OF NEW YORK, PLLC
- Practice address
- 377 Church St
Saratoga Springs, NY 12866-8641 - Phone
- (518) 203-2582
- NPI assigned
- Jun 22, 2010
- Last updated
- Jun 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerome Donald Chao, M.D.
- Title
- Owner
- Phone
- (518) 203-2582
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
377 Church St
Saratoga Springs, NY 12866-8641
Mailing address
13 Century Hill Dr
Latham, NY 12110-2113
National Provider Directory
National Provider DirectoryLocations
13 Century Hill Dr
Latham, NY 12110
Phone (518) 203-2582
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.
-
- Plastic Surgery Physician
- Latham, NY
- NPI 1467474866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277164800000",
"number": "1962723122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 CENTURY HILL DR",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 CHURCH ST",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128668641",
"telephone_number": "518-203-2582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CERTIFIED PLASTIC SURGERY OF NEW YORK, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-22",
"last_updated": "2010-06-22",
"status": "A",
"authorized_official_last_name": "CHAO",
"authorized_official_first_name": "JEROME",
"authorized_official_middle_name": "DONALD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-203-2582",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.