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DYM PLASTIC SURGERY PC
NPI 1780221804
Plastic Surgery in New York, NY

Active since December 09, 2019CLIA 33D2277650 · Waiver
1165 PARK AVE, NEW YORK, NY 10128(212) 920-6800 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2021, Dec 9, 2019 (2 updates tracked since 2019).

About Dym Plastic Surgery Pc NPPES

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

DYM PLASTIC SURGERY PC (NPI 1780221804) is a healthcare organization registered as a plastic surgery in New York, New York and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through March 1, 2027, maintains a secondary practice location in New York, and lists Joseph Brugess, Administrator, as its authorized official.

NPPES Registry Identity

NPI1780221804
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameDYM PLASTIC SURGERY PC
Location Address1165 PARK AVENew York, NY 10128-1248
Mailing Address1200 5th Ave Apt 7nNew York, NY 10029-5208 · (917) 538-1366 · Fax (833) 821-5297
Phone(212) 920-6800
Organization SubpartNo
Authorized OfficialJoseph BrugessAdministrator · (718) 532-4050
Enumeration DateDecember 9, 2019
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1780221804 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.
1165 PARK AVE, New York, NY 10128
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Secondary Practice Location 1

Location 1740 Park AveNew York, NY 10021-4251 · Phone (718) 532-4050 · Fax (833) 821-5297

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2277650

Dym Plastic Surgery, PC · New York, NY
Active · expires Mar 1, 2027
CLIA Number33D2277650
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorDr. Daniel Y. Maman
Laboratory Phone(212) 920-6800
Laboratory LocationDym Plastic Surgery, PC1100 Park Avenue, 1B, New York, NY 10128
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. TAMSIN LOOKER PH.D
Psychologist
1165 PARK AVE
NEW YORK, NY 10128
New York County (212) 410-0862
DR. RICHARD JULIAN RADNA M.D.
Specialist
1165 PARK AVE
NEW YORK, NY 10128
New York County (212) 427-7500
DR. MARK R. EDISON PH.D.
Psychologist (Clinical)
1165 PARK AVE, SUITE 1-B
NEW YORK, NY 10128
New York County (917) 399-5594
DR. ALLISON LOMONACO MD
Psychiatry & Neurology (Psychiatry)
1165 PARK AVE
NEW YORK, NY 10128
New York County (347) 804-8811

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 Dym Plastic Surgery PC's NPI number?

The NPI number for Dym Plastic Surgery PC is 1780221804. It was assigned to this organization in the NPPES registry on December 9, 2019.

Where is Dym Plastic Surgery PC located?

Dym Plastic Surgery PC is located at 1165 Park Ave, New York, NY 10128. The listed phone number is (212) 920-6800.

What is Dym Plastic Surgery PC's specialty?

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

Does Dym Plastic Surgery PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2277650) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dym Plastic Surgery PC was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.