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ISLAND COSMETIC AND RECONSTRUCTIVE SURGERY PLLC
NPI 1013038702
Plastic Surgery in Mineola, NY

Active since April 02, 2007
190 E JERICHO TPKE, MINEOLA, NY 11501(516) 977-9922(516) 977-9926 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Island Cosmetic And Reconstructive Surgery Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISLAND COSMETIC AND RECONSTRUCTIVE SURGERY PLLC (NPI 1013038702), doing business as Island Plastic Surgery, is a healthcare organization registered as a plastic surgery in Mineola, New York and active in the NPI registry since April 2007. The organization lists Shannon Boyd, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013038702
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameISLAND COSMETIC AND RECONSTRUCTIVE SURGERY PLLC
Location Address190 E JERICHO TPKEMineola, NY 11501-2033
Mailing Address190 E Jericho TpkeMineola, NY 11501-2033 · (516) 977-9922 · Fax (516) 977-9926
Phone(516) 977-9922
Fax(516) 977-9926
Organization SubpartNo
Authorized OfficialShannon BoydOffice Manager · (516) 534-2121
Enumeration DateApril 2, 2007
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1013038702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NY · 124739
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.
190 E JERICHO TPKE, Mineola, NY 11501
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Other Names 2

Doing Business AsIsland Plastic Surgery
Doing Business AsIsland Plastic Surgery Aesthetic & Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS CASSANDRA LYNN TRIMARCO RPA-C
Physician Assistant (Surgical)
190 E JERICHO TPKE, 2ND FLOOR
MINEOLA, NY 11501
Nassau County (516) 977-9922
PATRICIA VICENTA CASTIGLIONE
Massage Therapist
190 E JERICHO TPKE
MINEOLA, NY 11501
Nassau County (516) 320-0405
PAMELA M GALLAGHER M.D.
Plastic Surgery
190 E JERICHO TPKE
MINEOLA, NY 11501
Nassau County (516) 977-9922
MRS. ANDREA JOHNNIDIS-KLEIN PA
Physician Assistant (Surgical)
190 E JERICHO TPKE
MINEOLA, NY 11501
Nassau County (516) 977-9922
ALYSSA VANDERHOEF FNP
Nurse Practitioner (Family)
190 E JERICHO TPKE
MINEOLA, NY 11501
Nassau County (516) 977-9922
SUSIE RHEE M.D.
Surgery (Plastic and Reconstructive Surgery)
190 E JERICHO TPKE, SUITE 202
MINEOLA, NY 11501
Nassau County (516) 714-5430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Island Cosmetic And Reconstructive Surgery PLLC's NPI number?

The NPI number for Island Cosmetic And Reconstructive Surgery PLLC is 1013038702. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Island Plastic Surgery and Island Plastic Surgery Aesthetic & Wellness.

Where is Island Cosmetic And Reconstructive Surgery PLLC located?

Island Cosmetic And Reconstructive Surgery PLLC is located at 190 E Jericho Tpke, Mineola, NY 11501. The listed phone number is (516) 977-9922.

What is Island Cosmetic And Reconstructive Surgery PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Island Cosmetic And Reconstructive Surgery PLLC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.