AESTHETIC PLASTIC SURGERY PC
NPI 1114191905
Surgery - Plastic and Reconstructive Surgery in Great Neck, NY
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Aesthetic Plastic Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Aesthetic Plastic Surgery PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYFrequently 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.
Is Aesthetic Plastic Surgery PC enrolled in Medicare?
Yes. Aesthetic Plastic Surgery PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Aesthetic Plastic Surgery PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Aesthetic Plastic Surgery PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Aesthetic Plastic Surgery Pc · NPI 1114191905
Plastic and Reconstructive Surgery organization in Great Neck, New York. Organization record, active in the CMS NPPES registry since April 14, 2008.
## Identity
- **NPI:** 1114191905 (Entity type: Organization)
- **Enumerated:** April 14, 2008
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **Organization subpart:** No
- **Authorized official:** Randall Feingold, PRESIDENT
## Practice location
- **Address:** 833 NORTHERN BOULEVARD, SUITE 160, Great Neck, NY 11021-5395
- **Phone:** (516) 498-8400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Plastic and Reconstructive Surgery) reassign Medicare billing to this organization (form CMS-855R); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2008
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1114191905) · Data from the CMS NPPES public registry.