COSMETIC PLASTIC RECONSTRUCTIVE SURGERY
NPI 1568451391
Plastic Surgery in Syracuse, NY

NPI Status: Active since October 14, 2005

Contact Information

4850 BROAD RD
SUITE 2G
SYRACUSE, NY
ZIP 13215
Phone: (315) 492-5815
Fax: (315) 492-5831

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  • Organization
  • Plastic Surgery

About COSMETIC PLASTIC RECONSTRUCTIVE SURGERY

This page provides the complete NPI Profile along with additional information for Cosmetic Plastic Reconstructive Surgery, a provider established in Syracuse, New York operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1568451391 assigned on October 2005. The practitioner's primary taxonomy code is 208200000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Cosmetic Plastic Reconstructive Surgery. The authorized official of this NPI record is Mohammad B Tabaie Md (Owner)

NPI
1568451391
Provider Legal Name
MOHAMMAD B TABAIE, MD PC
Other Organization Name
COSMETIC PLASTIC RECONSTRUCTIVE SURGERY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4850 BROAD RD SUITE 2G SYRACUSE, NY 13215
Location Phone
(315) 492-5815
Location Fax
(315) 492-5831
Mailing Address
PO BOX 2003 EAST SYRACUSE, NY 13057
Mailing Phone
(315) 446-3904
Mailing Fax
(315) 492-5831
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-14-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOHAMMAD B TABAIE MD

Authorized Official Title
OWNER
Authorized Official Phone
(315) 492-5815

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568451391
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128852318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 8 + 5 + 2 + 3 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1568451391 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356344311 JANICE BEAMAN NP, CNM
Individual
Advanced Practice Midwife4850 BROAD RD STE 2C
SYRACUSE, NY 13215
(315) 492-5915
1851394811 MYRON O LUTHRINGER MD
Individual
Obstetrics & Gynecology4850 BROAD RD STE 2C
SYRACUSE, NY 13215
(315) 492-5915
1578566436 JENNIFER C MARZIALE MD
Individual
Obstetrics & Gynecology4850 BROAD RD STE 2C
SYRACUSE, NY 13215
(315) 492-5915
1720070774 MICHAEL J TAMUL MD
Individual
Anesthesiology4850 BROAD RD
SYRACUSE, NY 13215
(315) 492-5522
1285623017 MOHAMMAD B TABAIE MD
Individual
Plastic Surgery4850 BROAD RD SUITE 2G
SYRACUSE, NY 13215
(315) 492-5815
1740588607DEROBERTS PLASTIC SURGERY PLLC
Organization
Plastic Surgery4850 BROAD RD SUITE 2G
SYRACUSE, NY 13215
(315) 299-5313
1700082468 SUSAN P DUNBAR CNM
Individual
Advanced Practice Midwife4850 BROAD RD CGH POB SUITE 2C
SYRACUSE, NY 13215
(315) 492-5915
1801897574ADVANCED OB GYN, PLLC
Organization
Obstetrics & Gynecology4850 BROAD RD SUITE 2C
SYRACUSE, NY 13215
(315) 492-5915

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568451391, enumerated in the NPI registry as an "organization" on October 14, 2005

The provider is located at 4850 Broad Rd Suite 2g Syracuse, Ny 13215 and the phone number is (315) 492-5815

This medical organization specializes in Plastic Surgery with taxonomy code 208200000X

This NPI record was last updated on October 14, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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