Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast Plastic Surgery PLLC

Organization Plastic Surgery Physician · NPI 1770129058

Northeast Plastic Surgery PLLC provides Plastic Surgery Physician services in New York, New York. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

245 5th Ave Fl 3
New York, NY 10016-8728
Phone: (917) 708-0018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1770129058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shareef Jandali — Owner · (203) 604-5865
NPI enumeratedNovember 21, 2019
Last updated in NPPESNovember 21, 2019
Mailing address21 Southport Ter, Southport, CT 06890-1492

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