Pincus Plastic Surgery PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PINCUS PLASTIC SURGERY PC

Practice address

44 Laurel Hill Rd
Centerport, NY 11721-1637

Phone

(631) 352-3556

Fax

(631) 897-5975

NPI assigned

Apr 4, 2019

Organization subpart

No

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

Authorized official

Name

Aracely D Rivera

Title

Credentialing Specialist

Phone

(845) 410-0023

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PINCUS PLASTIC SURGERY PC Doing business as

Locations

Practitioners 2

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

• Daniel Scott Kirk, M.D., D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Stony Brook, NY
  • NPI 1407203417
  NPD (past)
• David Jerard Pincus, M.D.

  • Plastic Surgery Physician
  • Boca Raton, FL
  • NPI 1245463058
  NPD (past)

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1982166138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ROUTE 111 STE 300",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873700",
            "telephone_number": "631-352-3556",
            "fax_number": "631-897-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 LAUREL HILL RD",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211637",
            "telephone_number": "631-352-3556",
            "fax_number": "631-897-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINCUS PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ARACELY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "845-410-0023"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245463058",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINCUS PLASTIC SURGERY PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PINCUS PLASTIC SURGERY PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nyli Speech-Language Pathology, P.C.
• Brian O'Lear, D.D.S.
• Sarah Ann Oshea
• Lucas Salvatore Papaleo, DDS
• Maria Susan Perilli, LPN
• Lisa Pintel, LCSW
• Joyce G. Popkin, PH.D.
• Sharon Popper, M.D.
• Princemed, Inc
• Ryan Patrick Quinn

• Plastic Surgery Physician in Centerport, NY
• Providers in Centerport, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.