STATEN ISLAND SPECIAL SURGERY P.C.
NPI 1689904211
Plastic Surgery in Staten Island, NY

Active since January 04, 2010
1112 SOUTH AVE, STATEN ISLAND, NY 10314(718) 982-0800(718) 982-0811 Get Directions Write a Review

NPPES record last updated: January 4, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Staten Island Special Surgery P.c. NPPES

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

STATEN ISLAND SPECIAL SURGERY P.C. (NPI 1689904211) is a healthcare organization registered as a plastic surgery in Staten Island, New York and active in the NPI registry since January 2010. The organization lists Spencer Malkin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689904211
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameSTATEN ISLAND SPECIAL SURGERY P.C.
Location Address1112 SOUTH AVEStaten Island, NY 10314-3410
Mailing Address1112 South AveStaten Island, NY 10314-3410 · (718) 982-0800 · Fax (718) 982-0811
Fax(718) 982-0811
Organization SubpartNo
Authorized OfficialSpencer MalkinCeo · (917) 815-2299
Enumeration DateJanuary 4, 2010
NPI 1689904211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in NY · 212519
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.

Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License 212519 (NY)
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 212519 (NY)
1112 SOUTH AVE, Staten Island, NY 10314

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1112 SOUTH AVE
STATEN ISLAND, NY 10314
Orthopaedic Surgery
1112 SOUTH AVE
STATEN ISLAND, NY 10314
Nurse Practitioner (Family)
1112 SOUTH AVE
STATEN ISLAND, NY 10314
Internal Medicine (Cardiovascular Disease)
1112 SOUTH AVE
STATEN ISLAND, NY 10314
Internal Medicine (Cardiovascular Disease)
1112 SOUTH AVE
STATEN ISLAND, NY 10314

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 Staten Island Special Surgery P.C.'s NPI number?

The NPI number for Staten Island Special Surgery P.C. is 1689904211. It was assigned to this organization in the NPPES registry on January 4, 2010.

Where is Staten Island Special Surgery P.C. located?

Staten Island Special Surgery P.C. is located at 1112 South Ave, Staten Island, NY 10314. The listed phone number is (718) 982-0800.

What is Staten Island Special Surgery P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Staten Island Special Surgery P.C. was last updated on January 4, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.