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SRB PLASTIC SURGERY PC
NPI 1962612507
Plastic Surgery in New York, NY

Active since May 23, 2007
740 PARK AVE, NEW YORK, NY 10021(212) 879-7900 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2018, Aug 21, 2017 (2 updates tracked since 2017).

About Srb Plastic Surgery Pc NPPES

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

SRB PLASTIC SURGERY PC (NPI 1962612507) is a healthcare organization registered as a plastic surgery in New York, New York and active in the NPI registry since May 2007. The organization lists Stafford R Broumand, President, as its authorized official.

NPPES Registry Identity

NPI1962612507
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameSRB PLASTIC SURGERY PC
Location Address740 PARK AVENew York, NY 10021-4251
Mailing AddressSrb Plastic Surgery Pc, 75 E 71st StreetNew York, NY 10021-4251 · (212) 879-7900
Phone(212) 879-7900
Organization SubpartNo
Authorized OfficialStafford R BroumandPresident · (212) 879-7900
Enumeration DateMay 23, 2007
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1962612507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NY · 166718
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.
740 PARK AVE, New York, NY 10021
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Other Identifiers 4

Other0100923NY · Ghi
Other80H671NY · Blue Cross Blue Shield
OtherN37868NY · Health Net
OtherP3806444NY · Oxford

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Srb Plastic Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20111215000003Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Srb Plastic Surgery PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stafford Broumand, M.D.
Plastic and Reconstructive Surgery
NPI 1548313828
75 EAST 71STREET
New York City, NY 10021
(212) 879-7900
✔ PECOS✔ Accepts MedicareSame address

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 Srb Plastic Surgery PC's NPI number?

The NPI number for Srb Plastic Surgery PC is 1962612507. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Srb Plastic Surgery PC located?

Srb Plastic Surgery PC is located at 740 Park Ave, New York, NY 10021. The listed phone number is (212) 879-7900.

What is Srb Plastic Surgery PC's specialty?

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

Is Srb Plastic Surgery PC enrolled in Medicare?

Yes. Srb Plastic Surgery PC is registered in the Medicare PECOS enrollment system.

When is Srb Plastic Surgery PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Srb Plastic Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Srb Plastic Surgery PC. 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 Srb Plastic Surgery PC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.