COSMOPLASTIC SURGERY PLLC NPI 1922404094

NPI Information

  • NPI: 1922404094
  • Provider Name: COSMOPLASTIC SURGERY PLLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 500 N BROADWAY
    SUITE 200
    JERICHO, NY
    ZIP 11753
  • Phone: (929) 800-1887

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NPI Details

COSMOPLASTIC SURGERY PLLC is a plastic and reconstructive surgery surgery in Jericho, NY. The provider is a surgeon who specializes in plastic and reconstructive surgery. COSMOPLASTIC SURGERY PLLC NPI is 1922404094. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

500 N BROADWAY
SUITE 200
JERICHO, NY
ZIP 11753-127
Phone: (929) 800-1887

The provider's authorized official is Kaveh Alizadeh .
The authorized official title is Owner and has the following contact phone number (908) 490-0036.

The enumeration date for this NPI number is 11/17/2014 and was last updated on 11/17/2014.

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
12086S0122XSurgeryPlastic and Reconstructive Surgery213702-1NEW YORKYes

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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