DR. ALEX KELLER (NPI# 1962423772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962423772 |
| Entity Type | Individual |
| Full Name | DR. ALEX KELLER |
| Credential | M.D. |
| Practice Address |
1991 Marcus Ave New Hyde Park NY 11042-2057 |
| Practice Telephone | 5164821100 |
| Practice Fax Number | 5164826863 |
| Mailing Telephone | 5164821100 |
| Mailing Fax Number | 5164826863 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2015-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 130451 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326340571 | Alex L Keller | Pharmacist | 3008 Malan Dr, Plymouth Meeting, PA 19462-1921 | 2010-11-20 |
| 1487282406 | Alex Eve Keller | Student in an Organized Health Care Education/Training Program | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2020-03-27 |
| Street Address |
1991 MARCUS AVE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081813 | John Rizzo | Internal Medicine | 1991 Marcus Ave, Suite 101, New Hyde Park, NY 11042-2058 | 2005-05-23 |
| 1023621240 | Nina Skaria | Pediatrics | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2020-08-27 |
| 1407491772 | Kimberly Andreacchio | Dietitian, Registered | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2019-11-11 |
| 1407350721 | Jennifer Evans Malheiros | Nurse Practitioner | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2018-03-21 |
| 1336662329 | Bessie Thomas | Optometrist | 1991 Marcus Ave, 2nd Floor, New Hyde Park, NY 11042 | 2017-07-21 |
| 1134665193 | Nhpe, LLC | Clinic/Center | 1991 Marcus Ave, Suite M202, New Hyde Park, NY 11042-2057 | 2017-01-16 |
| 1225482573 | Samera Ahmed | Occupational Therapist | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2016-04-22 |
| 1043676471 | Jessica Marie Mennella | Nurse Practitioner | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2016-01-14 |
| 1710342092 | Kristine R Pascuma | Registered Nurse | 1991 Marcus Ave, Suite M 100, New Hyde Park, NY 11042-2057 | 2015-12-30 |
| 1912362260 | Northwell Dermatology | Dermatology | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2015-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| 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 |
|---|---|---|---|---|
| 1306850730 | Eleanor Jane Barone | Plastic Surgery | 6 Lowell Ave, New Hyde Park, NY 11040-2810 | 2006-07-29 |
| 1952745697 | Stephen Lu | Plastic Surgery | 1991 Marcus Ave, Suite 102, New Hyde Park, NY 11042-2057 | 2013-04-24 |
| 1649568601 | Tansar Mir M.d.,p.c. | Plastic Surgery | 444 Lakeville Rd, Suite 303, New Hyde Park, NY 11042-1165 | 2011-07-12 |
| 1689807307 | Denis Knobel | Plastic Surgery | 450 Lakeville Rd, New Hyde Park, NY 11042-1118 | 2009-08-27 |
| 1720112352 | Sophia H Kwo | Plastic Surgery | 1991 Marcus Ave Ste 102, Division of Plastic Surgery, New Hyde Park, NY 11042-2062 | 2007-03-15 |
| 1942389317 | Mahira Tanovic | Plastic Surgery | 444 Lakeville Rd, Suite 303, New Hyde Park, NY 11042-1165 | 2006-11-04 |
| 1669458964 | Armen Kasabian | Plastic Surgery | 1991 Marcus Ave, Suite 102, New Hyde Park, NY 11042-2057 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501729 | Hamptons Plastic Surgery, Pllc | Plastic Surgery | 25 Montauk Hwy Ste 1, Quogue, NY 11959-4000 | 2020-09-08 |
| 1881218857 | Jeremy Nikfarjam Md PC | Plastic Surgery | 6c Blue Sea Ln, Great Neck, NY 11024-1500 | 2020-06-04 |
| 1073137790 | Shah Plastic Surgery Pllc | Plastic Surgery | 352 7th Avenue, Unit 1503, New York, NY 10001 | 2020-05-29 |
| 1952944852 | Rowe Plastic Surgery of Long Island PC | Plastic Surgery | 100 Manetto Hill Rd Ste 204, Plainview, NY 11803-1311 | 2019-10-23 |
| 1548817083 | Cljohnsonmd PC | Plastic Surgery | 22 W 48th St Ste 300, New York, NY 10036-1818 | 2019-08-20 |
| 1780156620 | David J Pincus Md | Plastic Surgery | 44 Laurel Hill Rd, Centerport, NY 11721-1637 | 2018-12-17 |
| 1437629433 | Craig Baldenhofer Md Pllc | Plastic Surgery | 115 W 27th St Fl 10, New York, NY 10001-6217 | 2018-12-03 |
| 1427523174 | Image Plastic Surgery LLC | Plastic Surgery | 346 E 51st St Apt 1f, New York, NY 10022-7824 | 2018-10-09 |
| 1245722719 | Plastic Surgery Practice At Manhattan PC | Plastic Surgery | 139 Plandome Rd # 139, Manhasset, NY 11030-2331 | 2018-05-31 |
| 1013416338 | Stephen Evangelisti Md | Plastic Surgery | 1901 Lac De Ville Blvd Ste 2, Rochester, NY 14618-5660 | 2018-02-02 |
| Find all providers with the same taxonomy | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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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.