THE PLASTIC AND RECONSTRUCTIVE SURGERY GROUP, PC (NPI# 1922515006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922515006 |
| Entity Type | Organization |
| Organization Name | THE PLASTIC AND RECONSTRUCTIVE SURGERY GROUP, PC |
| Practice Address |
2 Greenwich Office Park Ste 210 Greenwich CT 06831-5155 |
| Mailing Address |
1776 Broadway Ste 1200 New York NY 10019-2007 |
| Practice Telephone | 2038630003 |
| Practice Fax Number | 2122651776 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | DR. DAVID GREENSPUN (CEO) |
| Authorized Official Telephone | 2127441200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 77 Lafayette Pl Ste 302, Greenwich, CT 068305426 | 2127441200 |
| Street Address |
2 GREENWICH OFFICE PARK STE 210 |
| City | GREENWICH |
| State | CT |
| Zip Code | 06831-5155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336248970 | David Todd Greenspun | Plastic Surgery | 2 Greenwich Office Park Ste 210, Greenwich, CT 06831-5155 | 2006-09-21 |
| 1477852937 | Andreas Michael Lamelas | Plastic Surgery | 2 Greenwich Office Park Ste 210, Greenwich, CT 06831 | 2011-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700401775 | Aba Telehealth Project, LLC | Behavioral Analyst | 29 Valley Drive, #5004, Greenwich, CT 06831 | 2020-06-15 |
| 1972069466 | Maryse C Vincent | Licensed Practical Nurse | 36 Greenwich Hills Drive, Greenwich, CT 06831 | 2019-02-20 |
| 1720409766 | Livia Stephania Kijac | Psychiatry & Neurology | 10 Dwight Lane, Greenwich, CT 06831 | 2013-12-18 |
| 1114355286 | Sueli Pini Dejesus | Pharmacist | 7 Moshier St, Greenwich, CT 06831 | 2013-10-28 |
| 1386970960 | Dandan Tu | Physical Medicine & Rehabilitation | 1165 King Street, Greenwich Woods Rehabilitation & Health Care Cente, Greenwich, CT 06831 | 2009-11-02 |
| 1659606390 | Christine Speck | Social Worker | 21 Nicholas Ave, Greenwich, CT 06831 | 2009-10-14 |
| 1992991343 | Josephine A Capocci | Registered Nurse | 5 Willow Run Rd, Greenwich, CT 06831 | 2007-09-19 |
| 1841418571 | Alisa Krystyn Miller | Podiatrist | 2 Half Dearfield Dr., Greenwich, CT 06831 | 2007-04-20 |
| 1801919170 | Elsa M. Raskin Physician PC | Plastic Surgery | 2 1 2 Dearfield Drive, Suite 102, Greenwich, CT 06831 | 2007-04-09 |
| 1023150687 | Lisa Violi | Physician Assistant | 2 and One Half Dearfield Drive, Greenwich, CT 06831 | 2007-02-12 |
| Find all providers in zip 06831 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538563507 | Radiance Medspa Pllc | Surgery | 195 Field Point Rd, First Floor, Greenwich, CT 06830-6441 | 2014-10-20 |
| 1689998106 | Robert E Reber M.d. PC | Surgery | 77 Lafayette Pl, 301, Greenwich, CT 06830-5426 | 2010-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255879748 | Northeast Breast Reconstruction LLC | Surgery | 21 Southport Terrace, Southport, CT 06890 | 2017-02-06 |
| 1932586682 | Northeast Plastic Surgery Center LLC | Surgery | 5-1 Davis Road West, Suite 3, Old Lyme, CT 06371 | 2015-05-01 |
| 1205168499 | Vinod V Pathy Md LLC | Surgery | 1525 Boston Post Rd, Westbrook, CT 06498-2044 | 2010-02-12 |
| 1568609121 | Stacey Lauren June | Surgery | 107 Newtown Road Suite 2c, Danbury, CT 06810 | 2009-01-19 |
| 1982861860 | Mark Manuel Melendez | Surgery | 4 Corporate Dr Ste 288, Shelton, CT 06484-6240 | 2008-05-19 |
| 1275602146 | Andrew Nelson Kornstein | Surgery | 539 Danbury Rd, Wilton, CT 06897-2216 | 2006-11-07 |
| 1831287275 | Sergio D. Francescon | Surgery | 540 S. Broad Street, Suite 3c, Meriden, CT 06450-6600 | 2006-10-11 |
| 1578583282 | Stephan Ariyan | Surgery | 60 Temple St Ste 7c, New Haven, CT 06510-2716 | 2006-07-19 |
| 1093795387 | Colleen J Jambor | Surgery | 33 Dale Road, Ste 1, Avon, CT 06001 | 2006-01-20 |
| 1053303818 | John F Reilly | Surgery | 2 Ivy Brook Rd, Suite 105, Shelton, CT 06484-6416 | 2005-08-18 |
| Find all providers with the same taxonomy | ||||
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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.