Renaissance Plastic Surgery PLLC
NPI 1639880677 · Plastic and Reconstructive Surgery Physician · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renaissance Plastic Surgery PLLC is a Plastic and Reconstructive Surgery Physician organization in New York, NY (NPI 1639880677).
Provider details
- NPI number
- 1639880677
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Irina Domantovsky, President(917) 387-7834
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
3 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
- 2022-12-12
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Frequently asked questions
- What is Renaissance Plastic Surgery PLLC's NPI number?
- Renaissance Plastic Surgery PLLC's National Provider Identifier (NPI) is 1639880677, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renaissance Plastic Surgery PLLC?
- Renaissance Plastic Surgery PLLC is classified in the NPPES registry as Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Renaissance Plastic Surgery PLLC located?
- Renaissance Plastic Surgery PLLC's practice location on file with NPPES is 590 5th Ave Fl 11, New York, NY 10036-4748.
- What is Renaissance Plastic Surgery PLLC's phone number?
- The practice phone number listed in the NPPES registry for Renaissance Plastic Surgery PLLC is (917) 387-7834.
- Does Renaissance Plastic Surgery PLLC accept Medicare?
- Renaissance Plastic 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 Renaissance Plastic Surgery PLLC?
- The authorized official listed on Renaissance Plastic Surgery PLLC's NPPES record is Irina Domantovsky, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renaissance Plastic Surgery PLLC's NPI active?
- Yes — Renaissance Plastic Surgery PLLC's NPI (1639880677) is active in the NPPES registry as of the last update on 2024-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.