COSMETIC AND RECONSTRUCTIVE SURGERY ASSOCIATES OF CONNECTICUT, PC
NPI 1184021396
Specialist in Shelton, CT

Q: What is Cosmetic And Reconstructive Surgery Associates Of Connecticut, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since December 03, 2014

4 CORPORATE DR, SUITE 288, SHELTON, CT 06484(203) 935-8160(203) 935-8162 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Cosmetic And Reconstructive Surgery Associates Of Connecticut, Pc NPPES

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

COSMETIC AND RECONSTRUCTIVE SURGERY ASSOCIATES OF CONNECTICUT, PC (NPI 1184021396) is a healthcare organization registered as a specialist in Shelton, Connecticut and active in the NPI registry since December 2014. The organization lists Mark Manuel Melendez, President, as its authorized official.

NPPES Registry Identity

NPI1184021396

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCOSMETIC AND RECONSTRUCTIVE SURGERY ASSOCIATES OF CONNECTICUT, PC

Location Address4 CORPORATE DR, SUITE 288Shelton, CT 06484-6211

Mailing Address4 Corporate Dr, Suite 288Shelton, CT 06484-6211 · (203) 935-8160 · Fax (203) 935-8162

Phone(203) 935-8160

Fax(203) 935-8162

Organization SubpartNo

Authorized OfficialMark Manuel MelendezPresident · (203) 935-8160

Enumeration DateDecember 3, 2014

✔ NPI 1184021396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CT · 052225

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4 CORPORATE DR, Shelton, CT 06484

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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)

Cosmetic And Reconstructive Surgery Associates Of Connecticut, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cosmetic And Reconstructive Surgery Associates Of Connecticut, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Melendez, M.D., M.B.A

Plastic and Reconstructive Surgery

NPI 1982861860

4 CORPORATE DR STE 288
Shelton, CT 06484

✔ PECOS✔ Accepts Medicare2.7 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 Cosmetic And Reconstructive Surgery Associates Of Connecticut, PC's NPI number?

The NPI number for Cosmetic And Reconstructive Surgery Associates Of Connecticut, PC is 1184021396. It was assigned to this organization in the NPPES registry on December 3, 2014.

Where is Cosmetic And Reconstructive Surgery Associates Of Connecticut, PC located?

Cosmetic And Reconstructive Surgery Associates Of Connecticut, PC is located at 4 Corporate Dr Suite 288, Shelton, CT 06484. The listed phone number is (203) 935-8160.

What is Cosmetic And Reconstructive Surgery Associates Of Connecticut, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Cosmetic And Reconstructive Surgery Associates Of Connecticut, PC enrolled in Medicare?

Yes. Cosmetic And Reconstructive Surgery Associates Of Connecticut, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cosmetic And Reconstructive Surgery Associates Of Connecticut, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Cosmetic And Reconstructive Surgery Associates Of Connecticut, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cosmetic And Reconstructive Surgery Associates Of Connecticut, PC was last updated on December 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.