FACIAL PLASTIC, RECONSTRUCTIVE & LASER SURGERY, PLLC
NPI 1730218074
Otolaryngology - Facial Plastic Surgery in Poughkeepsie, NY

Q: What is Facial Plastic, Reconstructive & Laser Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Active since March 04, 2007

82 N WATER ST, POUGHKEEPSIE, NY 12601(845) 454-8025(845) 454-8026 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Facial Plastic, Reconstructive & Laser Surgery, Pllc NPPES

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

FACIAL PLASTIC, RECONSTRUCTIVE & LASER SURGERY, PLLC (NPI 1730218074) is a healthcare organization registered as a facial plastic surgery in Poughkeepsie, New York and active in the NPI registry since March 2007. The organization lists Manoj Timothy Abraham, Owner, as its authorized official.

NPPES Registry Identity

NPI1730218074

Entity TypeOrganization

Primary Taxonomy207YS0123X

Legal Business NameFACIAL PLASTIC, RECONSTRUCTIVE & LASER SURGERY, PLLC

Location Address82 N WATER STPoughkeepsie, NY 12601-1721

Mailing Address82 N Water StPoughkeepsie, NY 12601-1721 · (845) 454-8025 · Fax (845) 454-8026

Phone(845) 454-8025

Fax(845) 454-8026

Organization SubpartNo

Authorized OfficialManoj Timothy AbrahamOwner · (845) 454-8025

Enumeration DateMarch 4, 2007

Last NPPES UpdateOctober 1, 2008

✔ NPI 1730218074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YS0123X

License✔ Licensed in NY · 211519

Definition

An otolaryngologist who specializes in facial plastic surgery.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 211519 (NY)

82 N WATER ST, Poughkeepsie, NY 12601

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Other Identifiers 10

Other000415207001NY · Healthnow

Other362957NY · Mvp Ent

Other363203NY · Mvp Plastic

Other7539468NY · Aetna Ppo Pos

Other7M7521NY · Blue Cross Blue Shield

Other3289877NY · Aetna Hmo

OtherP3063915NY · Oxford Liberty, Freedom

Other10074336NY · Cdphp

Medicare UPINH66925NY

Medicare ID-Type UnspecifiedWEW971NY

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Facial Plastic, Reconstructive & Laser Surgery, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Facial Plastic, Reconstructive & Laser Surgery, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Manoj Abraham, M.D., F.A.C.S.

Otolaryngology

NPI 1679682892

82 N WATER ST
Poughkeepsie, NY 12601

(845) 454-8025

✔ PECOS✔ Accepts MedicareSame address

Bruce Moskowitz, M.D.

Ophthalmology

NPI 1982644910

310 E 14TH ST SUITE 401
New York, NY 10003

(212) 979-4586

✔ PECOS✔ Accepts Medicare67 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 Facial Plastic, Reconstructive & Laser Surgery, PLLC's NPI number?

The NPI number for Facial Plastic, Reconstructive & Laser Surgery, PLLC is 1730218074. It was assigned to this organization in the NPPES registry on March 4, 2007.

Where is Facial Plastic, Reconstructive & Laser Surgery, PLLC located?

Facial Plastic, Reconstructive & Laser Surgery, PLLC is located at 82 N Water St, Poughkeepsie, NY 12601. The listed phone number is (845) 454-8025.

What is Facial Plastic, Reconstructive & Laser Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Facial Plastic, Reconstructive & Laser Surgery, PLLC enrolled in Medicare?

Yes. Facial Plastic, Reconstructive & Laser Surgery, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Facial Plastic, Reconstructive & Laser Surgery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Facial Plastic, Reconstructive & Laser Surgery, PLLC, in Ophthalmology and Otolaryngology. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Facial Plastic, Reconstructive & Laser Surgery, PLLC was last updated on October 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.