Advanced Plastic Surgery of Northshore, P.C.
NPI 1114114105 · Specialist · Lake Success, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Plastic Surgery of Northshore, P.C. is a Specialist organization in Lake Success, NY (NPI 1114114105).
Provider details
- NPI number
- 1114114105
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Mahira Tanovic, Plastic and Hand Surgeon(516) 354-1330
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Registry dates
- Enumerated
- 2007-10-03
- Last updated
- 2022-09-19
- Certified
- 2022-09-19
Frequently asked questions
- What is Advanced Plastic Surgery of Northshore, P.C.'s NPI number?
- Advanced Plastic Surgery of Northshore, P.C.'s National Provider Identifier (NPI) is 1114114105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Plastic Surgery of Northshore, P.C.?
- Advanced Plastic Surgery of Northshore, P.C. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Advanced Plastic Surgery of Northshore, P.C. located?
- Advanced Plastic Surgery of Northshore, P.C.'s practice location on file with NPPES is 2500 Marcus Avenue, Lake Success, NY 11042-1018.
- What is Advanced Plastic Surgery of Northshore, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Advanced Plastic Surgery of Northshore, P.C. is (516) 354-1330.
- Does Advanced Plastic Surgery of Northshore, P.C. accept Medicare?
- Advanced Plastic Surgery of Northshore, P.C. 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 Advanced Plastic Surgery of Northshore, P.C.?
- The authorized official listed on Advanced Plastic Surgery of Northshore, P.C.'s NPPES record is Mahira Tanovic, Plastic and Hand Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Plastic Surgery of Northshore, P.C.'s NPI active?
- Yes — Advanced Plastic Surgery of Northshore, P.C.'s NPI (1114114105) is active in the NPPES registry as of the last update on 2022-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.