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TOWN PLASTIC SURGERY
NPI 1225762503
Surgery - Plastic and Reconstructive Surgery in Port Jefferson Station, NY

Active since July 13, 2022
96 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776(631) 815-2366(646) 774-0936 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2025, Jul 13, 2022 (2 updates tracked since 2022).

About Town Plastic Surgery NPPES

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

TOWN PLASTIC SURGERY (NPI 1225762503) is a healthcare organization registered as a plastic and reconstructive surgery in Port Jefferson Station, New York and active in the NPI registry since July 2022. The organization maintains a secondary practice location in New York and lists Adam Jace Nadelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225762503
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameTOWN SURGERY NY PLLC
Location Address96 TERRYVILLE RDPort Jefferson Station, NY 11776-1388
Mailing Address96 Terryville RdPort Jefferson Station, NY 11776-1388 · (631) 815-2366 · Fax (646) 774-0936
Phone(631) 815-2366
Fax(646) 774-0936
Organization SubpartNo
Authorized OfficialAdam Jace NadelsonCeo · (212) 500-2163
Enumeration DateJuly 13, 2022
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1225762503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgeryTaxonomy 208600000X
96 TERRYVILLE RD, Port Jefferson Station, NY 11776
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Other Names 1

Doing Business AsTown Plastic Surgery

Secondary Practice Location 1

Location 153 W 36th St Rm 205New York, NY 10018-7684 · Phone (212) 500-2163

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 MULTIPLE 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)

Town Plastic Surgery 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 Town Plastic Surgery, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Steven Wallach, MD
Plastic and Reconstructive Surgery
NPI 1336229830
1049 5TH AVE STE 2D
New York, NY 10028
(212) 861-6400
✔ PECOS49 mi
Peter Andolina, D.O.
Plastic and Reconstructive Surgery
NPI 1073893822
53 W 36TH ST RM 204
New York, NY 10018
(212) 500-2163
✔ PECOS✔ Accepts Medicare50 mi
Ross Ratner, M.D.
Plastic and Reconstructive Surgery
NPI 1841588977
53 W 36TH ST RM 205
New York, NY 10018
(212) 500-2163
✔ PECOS✔ Accepts Medicare50 mi
Nishant Bhatt, M.D.
Plastic and Reconstructive Surgery
NPI 1699972265
4510 MEDICAL CENTER DR STE 202
Mckinney, TX 75069
(315) 794-0362
✔ PECOS✔ Accepts Medicare1,404 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 Town Surgery Ny PLLC's NPI number?

The NPI number for Town Surgery Ny PLLC is 1225762503. It was assigned to this organization in the NPPES registry on July 13, 2022. The provider is doing business as Town Plastic Surgery.

Where is Town Surgery Ny PLLC located?

Town Surgery Ny PLLC is located at 96 Terryville Rd, Port Jefferson Station, NY 11776. The listed phone number is (631) 815-2366.

What is Town Surgery Ny PLLC's specialty?

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

Is Town Surgery Ny PLLC enrolled in Medicare?

Yes. Town Surgery Ny PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Town Surgery Ny PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Town Surgery Ny 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Town Surgery Ny PLLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.