VICTORY MEDICAL PLLC
NPI 1013348689
Plastic Surgery in Staten Island, NY

Q: What is Victory Medical PLLC's NPI number?

The NPI number for Victory Medical PLLC is 1013348689. It was assigned to this organization in the NPPES registry on December 9, 2013.

Q: What is Victory Medical PLLC's specialty?

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

Active since December 09, 2013

2372 VICTORY BLVD, STATEN ISLAND, NY 10314(718) 761-3700(718) 698-3090 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Victory Medical Pllc NPPES

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

VICTORY MEDICAL PLLC (NPI 1013348689) is a healthcare organization registered as a plastic surgery in Staten Island, New York and active in the NPI registry since December 2013. The organization lists Michael Jude Lacqua, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1013348689

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameVICTORY MEDICAL PLLC

Location Address2372 VICTORY BLVDStaten Island, NY 10314-6607

Mailing Address2372 Victory BlvdStaten Island, NY 10314-6607 · (718) 761-3700 · Fax (718) 698-3090

Phone(718) 761-3700

Fax(718) 698-3090

Organization SubpartNo

Authorized OfficialMichael Jude LacquaMedical Doctor · (718) 761-3700

Enumeration DateDecember 9, 2013

Last NPPES UpdateApril 9, 2015

✔ NPI 1013348689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in NY · 192446

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.

Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License 192446 (NY)

2372 VICTORY BLVD, Staten Island, NY 10314

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Other Identifiers 2

Medicare PIN28L2382NY

Other1992753883NY · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

PROF. MICHAEL SARACENO OTR/L, CHT

Occupational Therapist