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AESTHETIC PLASTIC SURGERY PC
NPI 1114191905
Surgery - Plastic and Reconstructive Surgery in Great Neck, NY

Active since April 14, 2008CLIA 33D1052635 · Waiver
833 NORTHERN BOULEVARD, SUITE 160, GREAT NECK, NY 11021(516) 498-8400 Get Directions Write a Review

NPPES record last updated: April 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aesthetic Plastic Surgery Pc NPPES

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

AESTHETIC PLASTIC SURGERY PC (NPI 1114191905) is a healthcare organization registered as a plastic and reconstructive surgery in Great Neck, New York and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Randall Scott Feingold, President, as its authorized official.

NPPES Registry Identity

NPI1114191905
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameAESTHETIC PLASTIC SURGERY PC
Location Address833 NORTHERN BOULEVARD, SUITE 160Great Neck, NY 11021-5395
Mailing Address833 Northern Boulevard, Suite 160Great Neck, NY 11021-5395 · (516) 498-8400 · Fax (516) 498-8404
Phone(516) 498-8400
Organization SubpartNo
Authorized OfficialRandall Scott FeingoldPresident · (516) 498-8400
Enumeration DateApril 14, 2008
✔ NPI 1114191905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in NY · 176128✔ Licensed in NY · 187948
Definition
A surgeon who specializes in plastic and reconstructive surgery.
833 NORTHERN BOULEVARD, Great Neck, NY 11021
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1052635

Aesthetic Plastic Surgery PC · Great Neck, NY
Active · expires Mar 26, 2027
CLIA Number33D1052635
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 30, 2006
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Randall S. Feingold
Laboratory Phone(516) 498-8400
Laboratory LocationAesthetic Plastic Surgery PC833 Northern Blvd - Suite 160, Great Neck, NY 11021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SHERYL L. FEINGOLD, M.D., P.C.
Dermatology
833 NORTHERN BOULEVARD, SUITE 140
GREAT NECK, NY 11021
Nassau County (516) 301-5200
NIKOLAS MCENERNEY PA
Plastic Surgery
833 NORTHERN BOULEVARD, SUITE #160
GREAT NECK, NY 11021
Nassau County (516) 498-8400
DR. SHERYL L FEINGOLD M.D.
Dermatology
833 NORTHERN BOULEVARD, SUITE 140
GREAT NECK, NY 11021
Nassau County (516) 301-5200

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 Aesthetic Plastic Surgery PC's NPI number?

The NPI number for Aesthetic Plastic Surgery PC is 1114191905. It was assigned to this organization in the NPPES registry on April 14, 2008.

Where is Aesthetic Plastic Surgery PC located?

Aesthetic Plastic Surgery PC is located at 833 Northern Boulevard Suite 160, Great Neck, NY 11021. The listed phone number is (516) 498-8400.

What is Aesthetic Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Does Aesthetic Plastic Surgery PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1052635) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Aesthetic Plastic Surgery PC was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.