MA PLASTIC SURGERY PLLC – NPI #1689395725
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Health Care Provider Taxonomy Code for Plastic Surgery

MA PLASTIC SURGERY PLLC is a plastic surgeon located in EAST LONGMEADOW, MA. NPPES has assigned the NPI number 1689395725 to MA PLASTIC SURGERY PLLC on September 07, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MA PLASTIC SURGERY PLLC below.

NPI Profile for
MA PLASTIC SURGERY PLLC

NPI Number
1689395725
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MA PLASTIC SURGERY PLLC
Primary location
200 N MAIN ST SOUTH BLDG SUITE3, UNIT 9
EAST LONGMEADOW, MA 01028-2392
Phone: (413) 200-9906 Fax:
Mailing address
21 SOUTHPORT TER
SOUTHPORT, CT 06890-1492
Phone: (203) 604-5865 Fax:
Organization Subpart
No
Authorized Official
SHAREEF JANDALI
MD
Phone: (413) 200-9906
Updated
Certification Date
Sep 07, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208200000X
- Plastic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.