Island Cosmetic and Reconstructive Surgery PLLC
NPI 1013038702 · Plastic Surgery Physician · Mineola, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Island Cosmetic and Reconstructive Surgery PLLC is a Plastic Surgery Physician organization in Mineola, NY (NPI 1013038702).
Provider details
- NPI number
- 1013038702
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shannon Boyd, Office Manager(516) 534-2121
- License
- 124739 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Island Plastic Surgery
- Doing business as
- Island Plastic Surgery Aesthetic & Wellness
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2026-02-02
- Certified
- 2026-02-02
Frequently asked questions
- What is Island Cosmetic and Reconstructive Surgery PLLC's NPI number?
- Island Cosmetic and Reconstructive Surgery PLLC's National Provider Identifier (NPI) is 1013038702, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Island Cosmetic and Reconstructive Surgery PLLC?
- Island Cosmetic and Reconstructive Surgery PLLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Island Cosmetic and Reconstructive Surgery PLLC located?
- Island Cosmetic and Reconstructive Surgery PLLC's practice location on file with NPPES is 190 E Jericho Tpke, Mineola, NY 11501-2033.
- What is Island Cosmetic and Reconstructive Surgery PLLC's phone number?
- The practice phone number listed in the NPPES registry for Island Cosmetic and Reconstructive Surgery PLLC is (516) 977-9922.
- Does Island Cosmetic and Reconstructive Surgery PLLC accept Medicare?
- Island Cosmetic and Reconstructive Surgery PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Island Cosmetic and Reconstructive Surgery PLLC?
- The authorized official listed on Island Cosmetic and Reconstructive Surgery PLLC's NPPES record is Shannon Boyd, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Island Cosmetic and Reconstructive Surgery PLLC's NPI active?
- Yes — Island Cosmetic and Reconstructive Surgery PLLC's NPI (1013038702) is active in the NPPES registry as of the last update on 2026-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.