VICTORY MEDICAL PLLC
NPI 1922845007
Plastic Surgery in Staten Island, NY

Active since July 15, 2024
2372 VICTORY BLVD, STATEN ISLAND, NY 10314(781) 761-3700(718) 698-3090 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Victory Medical Pllc NPPES

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

VICTORY MEDICAL PLLC (NPI 1922845007) is a healthcare organization registered as a plastic surgery in Staten Island, New York and active in the NPI registry since July 2024. The organization lists Michael J Lacqua, Owner, as its authorized official.

NPPES Registry Identity

NPI1922845007
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameVICTORY MEDICAL PLLC
Location Address2372 VICTORY BLVDStaten Island, NY 10314-6607
Mailing Address2372 Victory BlvdStaten Island, NY 10314-6607 · (781) 761-3700 · Fax (718) 698-3090
Fax(718) 698-3090
Organization SubpartNo
Authorized OfficialMichael J LacquaOwner · (781) 761-3700
Enumeration DateJuly 15, 2024
NPPES CertifiedJuly 15, 2024
NPI 1922845007 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.
2372 VICTORY BLVD, 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 6

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

Plastic Surgery
2372 VICTORY BLVD
STATEN ISLAND, NY 10314
Occupational Therapist
2372 VICTORY BLVD
STATEN ISLAND, NY 10314
Plastic Surgery
2372 VICTORY BLVD
STATEN ISLAND, NY 10314
Occupational Therapist
2372 VICTORY BLVD
STATEN ISLAND, NY 10314
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2372 VICTORY BLVD
STATEN ISLAND, NY 10314
Plastic Surgery
2372 VICTORY BLVD
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 Victory Medical PLLC's NPI number?

The NPI number for Victory Medical PLLC is 1922845007. It was assigned to this organization in the NPPES registry on July 15, 2024.

Where is Victory Medical PLLC located?

Victory Medical PLLC is located at 2372 Victory Blvd, Staten Island, NY 10314. The listed phone number is (781) 761-3700.

What is Victory Medical PLLC'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 Victory Medical PLLC was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.