MMC PLASTIC SURGERY FPP
NPI 1285952804
Plastic Surgery in Brooklyn, NY

Active since May 06, 2010
745 64TH ST, BROOKLYN, NY 11220(718) 283-7022 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mmc Plastic Surgery Fpp NPPES

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

MMC PLASTIC SURGERY FPP (NPI 1285952804) is a healthcare organization registered as a plastic surgery in Brooklyn, New York and active in the NPI registry since May 2010. The organization lists Lloyd B Gayle, Chief, Plastic Surgery, as its authorized official.

NPPES Registry Identity

NPI1285952804
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameMMC PLASTIC SURGERY FPP
Location Address745 64TH STBrooklyn, NY 11220-4745
Mailing AddressPo Box 30074New York, NY 10087-0074
Organization SubpartYesParent: Maimonides Medical Center
Authorized OfficialLloyd B GayleChief, Plastic Surgery · (718) 765-2570
Enumeration DateMay 6, 2010
Last NPPES UpdateDecember 22, 2025
NPPES CertifiedDecember 22, 2025
✔ NPI 1285952804 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.
745 64TH ST, Brooklyn, NY 11220

Other Identifiers 1

Medicaid01361999NY

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mmc Plastic Surgery Fpp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120111000551Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mmc Plastic Surgery Fpp, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Plastic and Reconstructive Surgery
NPI 1417118845
4878 37TH ST
Long Island City, NY 11101
(718) 784-0755
✔ PECOS✔ Accepts Medicare8.4 mi
Plastic and Reconstructive Surgery
NPI 1447270392
1150 PARK AVENUE SUITE 1F
New York, NY 10128
(212) 452-5121
✔ PECOS✔ Accepts Medicare11 mi
Plastic and Reconstructive Surgery
NPI 1417114463
560 NORTHERN BLVD SUITE 209
Great Neck, NY 11021
(516) 773-4200
✔ PECOS19 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 Mmc Plastic Surgery Fpp's NPI number?

The NPI number for Mmc Plastic Surgery Fpp is 1285952804. It was assigned to this organization in the NPPES registry on May 6, 2010.

Where is Mmc Plastic Surgery Fpp located?

Mmc Plastic Surgery Fpp is located at 745 64th St, Brooklyn, NY 11220. The listed phone number is (718) 283-7022.

What is Mmc Plastic Surgery Fpp's specialty?

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

Is Mmc Plastic Surgery Fpp enrolled in Medicare?

Yes. Mmc Plastic Surgery Fpp is registered in the Medicare PECOS enrollment system.

When is Mmc Plastic Surgery Fpp's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mmc Plastic Surgery Fpp?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Mmc Plastic Surgery Fpp. 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 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 Mmc Plastic Surgery Fpp was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.