NEUTRINO LLC
NPI 1083178115
Plastic Surgery in Phoenix, AZ

Q: What is Neutrino LLC's NPI number?

The NPI number for Neutrino LLC is 1083178115. It was assigned to this organization in the NPPES registry on January 23, 2019.

Q: What is Neutrino LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Neutrino LLC was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since January 23, 2019

10910 N TATUM BLVD STE B100, PHOENIX, AZ 85028(631) 827-8159 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Neutrino Llc NPPES

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

NEUTRINO LLC (NPI 1083178115) is a healthcare organization registered as a plastic surgery in Phoenix, Arizona and active in the NPI registry since January 2019. The organization lists Mathew James, Patient Accounts, as its authorized official.

NPPES Registry Identity

NPI1083178115

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameNEUTRINO LLC

Location Address10910 N TATUM BLVD STE B100Phoenix, AZ 85028-3080

Mailing Address10910 N Tatum Blvd Ste B100Phoenix, AZ 85028-3080

Phone(631) 827-8159

Organization SubpartNo

Authorized OfficialMathew JamesPatient Accounts · (631) 827-8159

Enumeration DateJanuary 23, 2019

✔ NPI 1083178115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

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.

10910 N TATUM BLVD STE B100, Phoenix, AZ 85028

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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 8

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

KTL PLASTIC SURGERY

Plastic Surgery