Cosmetic Surgery of New York PC
NPI 1124229562 · Specialist · Port Jefferson Station, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cosmetic Surgery of New York PC is a Specialist organization in Port Jefferson Station, NY (NPI 1124229562).
Provider details
- NPI number
- 1124229562
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Robert Jacobs, Surgeon(631) 473-7070
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
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
Registry dates
- Enumerated
- 2007-05-31
- Last updated
- 2022-07-21
Frequently asked questions
- What is Cosmetic Surgery of New York PC's NPI number?
- Cosmetic Surgery of New York PC's National Provider Identifier (NPI) is 1124229562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cosmetic Surgery of New York PC?
- Cosmetic Surgery of New York PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Cosmetic Surgery of New York PC located?
- Cosmetic Surgery of New York PC's practice location on file with NPPES is 4616 Nesconset Hwy, Port Jefferson Station, NY 11776-2563.
- What is Cosmetic Surgery of New York PC's phone number?
- The practice phone number listed in the NPPES registry for Cosmetic Surgery of New York PC is (631) 473-7070.
- Does Cosmetic Surgery of New York PC accept Medicare?
- Cosmetic Surgery of New York PC 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 Cosmetic Surgery of New York PC?
- The authorized official listed on Cosmetic Surgery of New York PC's NPPES record is Robert Jacobs, Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cosmetic Surgery of New York PC's NPI active?
- Yes — Cosmetic Surgery of New York PC's NPI (1124229562) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.