NORTHEAST PLASTIC SURGERY CENTER LLC – NPI #1932586682
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

NORTHEAST PLASTIC SURGERY CENTER LLC is a surgeon located in OLD LYME, CT. NPPES has assigned the NPI number 1932586682 to NORTHEAST PLASTIC SURGERY CENTER LLC on May 01, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive 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 NORTHEAST PLASTIC SURGERY CENTER LLC below.

NPI Profile for
NORTHEAST PLASTIC SURGERY CENTER LLC

NPI Number
1932586682
Enumeration Date

(more than 11 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
NORTHEAST PLASTIC SURGERY CENTER LLC
Primary location
5-1 DAVIS ROAD WEST
SUITE 3
OLD LYME, CT 06371
Phone: (917) 699-3727 Fax: (718) 672-4251
Mailing address
12 HALLS RD
UNIT 878
OLD LYME, CT 06371-7000
Phone: (917) 699-3727 Fax: (718) 672-4251
Organization Subpart
No
Authorized Official
VINOD PATHY
OWNER
Phone: (917) 699-3727
Updated
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
CT 045607

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.