HUDSON PLASTIC SURGERY NJ LLC
NPI 1942824867
Plastic Surgery in New York, NY

Q: What is Hudson Plastic Surgery Nj LLC's NPI number?

The NPI number for Hudson Plastic Surgery Nj LLC is 1942824867. It was assigned to this organization in the NPPES registry on June 5, 2020.

Q: What is Hudson Plastic Surgery Nj LLC's specialty?

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

Active since June 05, 2020

25 5TH AVE, SUITE 1F, NEW YORK, NY 10003(212) 287-7211(212) 287-7210 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 2, 2026, Aug 23, 2024, Feb 22, 2023 and 3 more (6 updates tracked since 2020).

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About Hudson Plastic Surgery Nj Llc NPPES

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

HUDSON PLASTIC SURGERY NJ LLC (NPI 1942824867) is a healthcare organization registered as a plastic surgery in New York, New York and active in the NPI registry since June 2020. The organization maintains a secondary practice location in Englewood and lists Brad Michael Gandolfi, Owner, as its authorized official.

NPPES Registry Identity

NPI1942824867

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameHUDSON PLASTIC SURGERY NJ LLC

Location Address25 5TH AVE, SUITE 1FNew York, NY 10003-4308

Mailing Address25 5th Ave Suite 1fNew York, NY 10003-4308 · (212) 287-7211 · Fax (212) 287-7210

Phone(212) 287-7211

Fax(212) 287-7210

Organization SubpartNo

Authorized OfficialBrad Michael GandolfiOwner · (212) 287-7211

Enumeration DateJune 5, 2020

Last NPPES UpdateFebruary 2, 20266 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2026

✔ NPI 1942824867 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.

25 5TH AVE, New York, NY 10003

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Secondary Practice Location 1

Location 130 N Dean StEnglewood, NJ 07631-2807 · Phone (212) 287-7211

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 MULTIPLE 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)

Hudson Plastic Surgery Nj Llc 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 Hudson Plastic Surgery Nj LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Brad Gandolfi, M.D.

Plastic and Reconstructive Surgery

NPI 1003131053

25 5TH AVE APT 1F
New York, NY 10003

(212) 287-7211

✔ PECOS✔ Accepts MedicareSame address

Brian Bassiri-Tehrani, MD

Plastic and Reconstructive Surgery

NPI 1386062800

308 E 79TH ST # 1DEF
New York, NY 10075

(212) 540-6868

✔ PECOS✔ Accepts Medicare3.5 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 Hudson Plastic Surgery Nj LLC's NPI number?

The NPI number for Hudson Plastic Surgery Nj LLC is 1942824867. It was assigned to this organization in the NPPES registry on June 5, 2020.

Where is Hudson Plastic Surgery Nj LLC located?

Hudson Plastic Surgery Nj LLC is located at 25 5th Ave Suite 1F, New York, NY 10003. The listed phone number is (212) 287-7211.

What is Hudson Plastic Surgery Nj LLC's specialty?

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

Is Hudson Plastic Surgery Nj LLC enrolled in Medicare?

Yes. Hudson Plastic Surgery Nj LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hudson Plastic Surgery Nj LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Hudson Plastic Surgery Nj 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hudson Plastic Surgery Nj LLC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.