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THE DIEP GROUP CT PLLC
NPI 1164143566
Plastic Surgery in Trumbull, CT

Active since September 06, 2022
5520 PARK AVE STE WP-2300, TRUMBULL, CT 06611(203) 374-0310 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About The Diep Group Ct Pllc NPPES

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

THE DIEP GROUP CT PLLC (NPI 1164143566) is a healthcare organization registered as a plastic surgery in Trumbull, Connecticut and active in the NPI registry since September 2022. The organization lists Shareef Jandali, Md, as its authorized official.

NPPES Registry Identity

NPI1164143566
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameTHE DIEP GROUP CT PLLC
Location Address5520 PARK AVE STE WP-2300Trumbull, CT 06611-3463
Mailing Address5520 Park Ave Ste Wp-2300Trumbull, CT 06611-3463 · (203) 374-0310
Phone(203) 374-0310
Organization SubpartNo
Authorized OfficialShareef JandaliMd · (203) 374-0310
Enumeration DateSeptember 6, 2022
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1164143566 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.
5520 PARK AVE STE WP-2300, Trumbull, CT 06611
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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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Diep Group Ct Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to The Diep Group Ct PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Shareef Jandali, MD
Plastic and Reconstructive Surgery
NPI 1265598130
5520 PARK AVE SUITE WP-2-300
Trumbull, CT 06611
(203) 374-0310
✔ PECOS✔ Accepts MedicareSame address
Alexander Au, M.D.
Plastic and Reconstructive Surgery
NPI 1386821700
5520 PARK AVE STE WP-2300
Trumbull, CT 06611
(203) 200-0828
✔ PECOS✔ Accepts Medicare0.2 mi
Wess Cohen, M.D.
Plastic and Reconstructive Surgery
NPI 1972879120
4802 10TH AVE MAIMONIDES MEDICAL CENTER
Brooklyn, NY 11219
(718) 283-6000
✔ PECOS✔ Accepts Medicare57 mi
Richard Agag, MD
Plastic and Reconstructive Surgery
NPI 1497937486
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
(732) 828-3000
✔ PECOS81 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 The Diep Group Ct PLLC's NPI number?

The NPI number for The Diep Group Ct PLLC is 1164143566. It was assigned to this organization in the NPPES registry on September 6, 2022.

Where is The Diep Group Ct PLLC located?

The Diep Group Ct PLLC is located at 5520 Park Ave Ste Wp-2300, Trumbull, CT 06611. The listed phone number is (203) 374-0310.

What is The Diep Group Ct PLLC's specialty?

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

Is The Diep Group Ct PLLC enrolled in Medicare?

Yes. The Diep Group Ct PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Diep Group Ct PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to The Diep Group Ct PLLC. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Diep Group Ct PLLC was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.