MANHATTAN RECONSTRUCTIVE OFFICE BASED SURGERY PRACTICE PC NPI 1780080184

NPI Information

  • NPI: 1780080184
  • Provider Name: MANHATTAN RECONSTRUCTIVE OFFICE BASED SURGERY PRACTICE PC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 853 5TH AVE
    NEW YORK, NY
    ZIP 10065
  • Phone: (212) 772-3220

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NPI Details

MANHATTAN RECONSTRUCTIVE OFFICE BASED SURGERY PRACTICE PC is an ambulatory surgical clinic center in New York, NY. MANHATTAN RECONSTRUCTIVE OFFICE BASED SURGERY PRACTICE PC NPI is 1780080184. The provider is registered as an organization entity type.

The provider's business location address is:

853 5TH AVE
NEW YORK, NY
ZIP 10065-802
Phone: (212) 772-3220
Fax: (212) 772-3442

The provider's authorized official is Mauro C. Romita .
The authorized official title is Medical Director and has the following contact phone number (212) 772-3220.

The enumeration date for this NPI number is 11/12/2014 and was last updated on 11/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalCERT# 2419NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CERT# 2419OTHERNEW YORKAMBULATORY ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FACILITIES, INC.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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