ENGDAHL PLASTIC SURGERY, PLLC (NPI# 1215590914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215590914 |
| Entity Type | Organization |
| Organization Name | ENGDAHL PLASTIC SURGERY, PLLC |
| Practice Address |
506 6th St Brooklyn NY 11215-3609 |
| Mailing Address |
1562 1st Ave # 122 New York NY 10028-4004 |
| Practice Telephone | 9176500775 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | RYAN ENGDAHL (PRESIDENT) |
| Authorized Official Telephone | 9176500775 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
506 6TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11215-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310847 | Peilin Zhang | Pathology | 506 6th St, Brooklyn, NY 11215-3609 | 2005-07-14 |
| 1922607514 | Sandra Sewanu Ajimavo | Nurse Practitioner | 506 6th St, Brooklyn, NY 11215-3609 | 2020-10-23 |
| 1831797745 | Lindy Ganthier | Registered Nurse | 506 6th St, Brooklyn, NY 11215-3609 | 2020-10-13 |
| 1013521954 | Anna W Ku | Registered Nurse | 506 6th St, Brooklyn, NY 11215-3609 | 2020-09-08 |
| 1588289318 | Walid Khass | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215-3609 | 2020-06-08 |
| 1093339996 | Beatrice Saintard | Registered Nurse | 506 6th St, Brooklyn, NY 11215-3609 | 2020-06-05 |
| 1295359958 | Naomi Acheampong | General Acute Care Hospital | 506 6th St, Brooklyn, NY 11215-3609 | 2020-05-28 |
| 1932721024 | John Kelly | Physical Therapist | 506 6th St, Brooklyn, NY 11215-3609 | 2020-05-11 |
| 1134749575 | Jennifer Ann Tokash | Occupational Therapist | 506 6th St, Brooklyn, NY 11215-3609 | 2020-04-24 |
| 1700406311 | Paul Myung Kim | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215-3609 | 2020-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493584 | Lakshmi Menon | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York-presbyterian Brooklyn Methodis, Brooklyn, NY 11215 | 2020-06-26 |
| 1083234785 | Yalda Hazrat | Student in an Organized Health Care Education/Training Program | 5066th Street, Brooklyn, NY 11215 | 2020-04-22 |
| 1548815384 | Brittany Dalbow | Counselor | 732 Carroll Street, Garden Apt, Brooklyn, NY 11215 | 2019-08-08 |
| 1669032504 | Bilal Ghassan Jaradat | Student in an Organized Health Care Education/Training Program | 506 6th St, Nyp Brooklyn Methodist Hospital, Brooklyn, NY 11215 | 2019-06-13 |
| 1598322547 | Abeer Ashfaq | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York Presbyterian Brooklyn Methodis, Room 3113, Brooklyn, NY 11215 | 2019-05-24 |
| 1508422809 | Racha Cassard | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-05-13 |
| 1972066884 | Nourhan Arafa Kika | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital 506 6th St, New York - Brooklyn, NY 11215 | 2019-04-08 |
| 1891258703 | Mountasir El-tohami | Student in an Organized Health Care Education/Training Program | New York-presbyterian Brooklyn Methodist Hospital, 506 Sixth Street, Brooklyn, NY 11215 | 2019-04-08 |
| 1386106938 | Anita Krish | Student in an Organized Health Care Education/Training Program | Newyork-presbyterian Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-04-03 |
| 1497237549 | Elizabeth Hopkins | Social Worker | 439 9th Street, Suite 1a, Brooklyn, NY 11215 | 2018-09-05 |
| Find all providers in zip 11215 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003214271 | Dr Nawaiz Ahmad Medical PC | Plastic Surgery | 186 Bay Ridge Ave, Brooklyn, NY 11220-5109 | 2014-12-19 |
| 1689829632 | Leonard Grossman | Plastic Surgery | 3039 Emmons Ave, Brooklyn, NY 11235-2266 | 2008-11-18 |
| 1760642318 | Rr Plastic Surgery, P.C. | Plastic Surgery | 1616b Voorhies Ave, Brooklyn, NY 11235-3914 | 2008-06-16 |
| 1306902648 | Kimlyn Long | Plastic Surgery | 983 Fulton St, Brooklyn, NY 11238-2408 | 2006-12-29 |
| 1114989548 | Wendy Ann Olivier | Plastic Surgery | 1 Hanson Pl Ste 710, Brooklyn, NY 11243-2907 | 2006-04-03 |
| 1053311431 | David L Feldman | Plastic Surgery | 925 49th St, Brooklyn, NY 11219-2923 | 2005-07-28 |
| 1538587928 | Yitzchok Greenberg | Plastic Surgery | One Brookdale Plaza, Brookdale Hospital and Medical Center, Dept of Surgery, Brooklyn, NY 11212 | 2014-04-02 |
| 1184971624 | V P S Medical Pllc | Plastic Surgery | 100 Clinton St, Suite #2, Brooklyn, NY 11201-4362 | 2012-08-14 |
| 1366718496 | Arie Fleischer, M.d., P.C. | Plastic Surgery | 112 Prospect Park W, Brooklyn, NY 11215-3710 | 2012-03-22 |
| 1124313325 | Steven D Oven | Plastic Surgery | 150 55th St, Lutheran Medical Center Department of Surgery, Brooklyn, NY 11220 | 2011-06-15 |
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| 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.