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NORTHEAST PLASTIC SURGERY CENTER LLC
NPI 1932586682
Surgery - Plastic and Reconstructive Surgery in Old Lyme, CT

Active since May 01, 2015
5-1 DAVIS ROAD WEST, SUITE 3, OLD LYME, CT 06371(917) 699-3727(718) 672-4251 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northeast Plastic Surgery Center Llc NPPES

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

NORTHEAST PLASTIC SURGERY CENTER LLC (NPI 1932586682) is a healthcare organization registered as a plastic and reconstructive surgery in Old Lyme, Connecticut and active in the NPI registry since May 2015. The organization lists Vinod Pathy, Owner, as its authorized official.

NPPES Registry Identity

NPI1932586682
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameNORTHEAST PLASTIC SURGERY CENTER LLC
Location Address5-1 DAVIS ROAD WEST, SUITE 3Old Lyme, CT 06371
Mailing Address12 Halls Rd, Unit 878Old Lyme, CT 06371-7000 · (917) 699-3727 · Fax (718) 672-4251
Phone(917) 699-3727
Fax(718) 672-4251
Organization SubpartNo
Authorized OfficialVinod PathyOwner · (917) 699-3727
Enumeration DateMay 1, 2015
✔ NPI 1932586682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in CT · 045607
Definition
A surgeon who specializes in plastic and reconstructive surgery.
5-1 DAVIS ROAD WEST, Old Lyme, CT 06371
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Plastic Surgery Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Northeast Plastic Surgery Center LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Vinod Pathy, MD
Plastic and Reconstructive Surgery
NPI 1922299098
112 LAFAYETTE ST
Norwich, CT 06360
(860) 425-8701
✔ PECOS✔ Accepts Medicare20 mi
Charles Karcutskie, MD
Plastic and Reconstructive Surgery
NPI 1851735799
120 SIMSBURY RD
Avon, CT 06001
(860) 242-0505
✔ PECOS43 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 Northeast Plastic Surgery Center LLC's NPI number?

The NPI number for Northeast Plastic Surgery Center LLC is 1932586682. It was assigned to this organization in the NPPES registry on May 1, 2015.

Where is Northeast Plastic Surgery Center LLC located?

Northeast Plastic Surgery Center LLC is located at 5-1 Davis Road West Suite 3, Old Lyme, CT 06371. The listed phone number is (917) 699-3727.

What is Northeast Plastic Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Northeast Plastic Surgery Center LLC enrolled in Medicare?

Yes. Northeast Plastic Surgery Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Plastic Surgery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Northeast Plastic Surgery Center LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northeast Plastic Surgery Center LLC was last updated on May 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.