PLASTIC COSMETIC AND RESTORATIVE SURGERY PLLC


Address: 2640 Ridgeway Avenue, Rochester, NY 14626
Phone: 5852250680

PLASTIC COSMETIC AND RESTORATIVE SURGERY PLLC (NPI# 1063464717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063464717
Entity Type Organization
Organization Name PLASTIC COSMETIC AND RESTORATIVE SURGERY PLLC
Other Organization Name PLLC
Practice Address 2640 Ridgeway Avenue
Rochester
NY 14626
Practice Telephone 5852250680
Practice Fax Number 5852251324
Mailing Telephone 5852250680
Mailing Fax Number 5852251324
Enumeration Date 2006-05-17
Last Update Date 2008-04-29
Authorized Official Name MR. DONALD JOSEPH CAPUANO (DIRECTOR)
Authorized Official Telephone 5152250680
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery 1052901 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PREFERRED CARE 100585E0 01
BCBS AND BLUE CHOICE P020105290 01

Other Provider/Organization Names

Other Name Type Code
PLLC Other Name - Individual/Organization

Office Location

Street Address 2640 RIDGEWAY AVENUE
City ROCHESTER
State NY
Zip Code 14626

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760978084 Elizabeth M Neenan Nurse Practitioner 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 2018-07-10
1811488737 Anthony Richard Mesolella Dentist 2081 W Ridge Rd Ste 204, Rochester, NY 14626 2018-05-26
1285157370 Heather Kate Byam Nurse Anesthetist, Certified Registered 280 Mill Road, Rochester, NY 14626 2017-07-20
1710415039 Abner O De Los Santos Dentist 120 Erie Canal Dr Ste 150, Rochester, NY 14626 2017-05-31
1609308709 Ulfat Shafiq Dentist 1100 Long Pond Rd Ste 115, Greece, NY 14626 2017-03-29
1174982953 S.a.v.o.c L.l.c Preferred Provider Organization 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 2016-02-22
1700244357 Kerri Anne Sawyer Registered Nurse 82 Southridge Drive, Rochester, NY 14626 2016-02-10
1518398106 Braces of Greece Exclusive Provider Organization 770 Fetzner Rd., Rochester, NY 14626 2013-12-06
1477983443 Amy Pawlyk Licensed Practical Nurse 116 Annie Lane, Rochester, NY 14626 2013-11-12
1689911208 Kathleen Zimmerman Occupational Therapist 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 2013-01-16
Find all providers in zip 14626

Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013416338 Stephen Evangelisti Md Plastic Surgery 1901 Lac De Ville Blvd Ste 2, Rochester, NY 14618-5660 2018-02-02
1972731156 Ashley Amalfi Plastic Surgery 973 East Ave Ste 100, Rochester, NY 14607-2216 2009-06-26
1538336938 Oscar Javier Manrique Mogollon Plastic Surgery 5347 Scenic Oak Dr Sw, Rochester, MN 55902-2567 2008-05-14
1295909141 Donald J Capuano Plastic Surgery 2640 Ridgeway Ave, Rochester, NY 14626-4209 2008-04-22
1215947908 Marie A Frankel Plastic Surgery 285 Idlewood Rd, Rochester, NY 14618-3955 2006-08-08
1043259443 William James Koenig Plastic Surgery 973 East Ave, Rochester, NY 14607-2216 2006-06-04
1326092107 Stephen Evangelisti Plastic Surgery 1901 Lac De Ville Blvd, Rochester, NY 14618-5627 2006-05-19
1104899830 Steven R Jacobson Plastic Surgery 2518 Superior Dr Nw Ste 104, Rochester, MN 55901-1997 2006-02-13
1194721282 David H Refermat Plastic Surgery 360 Linden Oaks Dr., Ste 310, Rochester, NY 14625-2814 2005-06-22
1770100133 Austin D Chen Plastic Surgery 200 1st St Sw, Rochester, MN 55905-0001 2020-07-01
Find all providers in ROCHESTER

Competitor

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City ROCHESTER
Zip Code 14626

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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