Northeast Plastic Surgery Center LLC
NPI 1932586682 · Plastic and Reconstructive Surgery Physician · Old Lyme, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Plastic Surgery Center LLC is a Plastic and Reconstructive Surgery Physician organization in Old Lyme, CT (NPI 1932586682).
Provider details
- NPI number
- 1932586682
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vinod Pathy, Owner(917) 699-3727
- License
- 045607 (CT)
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
11 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
- 2015-05-01
- Last updated
- 2015-05-01
Frequently asked questions
- What is Northeast Plastic Surgery Center LLC's NPI number?
- Northeast Plastic Surgery Center LLC's National Provider Identifier (NPI) is 1932586682, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Plastic Surgery Center LLC?
- Northeast Plastic Surgery Center LLC is classified in the NPPES registry as Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Northeast Plastic Surgery Center LLC located?
- Northeast Plastic Surgery Center LLC's practice location on file with NPPES is 5-1 Davis Road West, Old Lyme, CT 06371.
- What is Northeast Plastic Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Northeast Plastic Surgery Center LLC is (917) 699-3727.
- Does Northeast Plastic Surgery Center LLC accept Medicare?
- Northeast Plastic Surgery Center LLC 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 Northeast Plastic Surgery Center LLC?
- The authorized official listed on Northeast Plastic Surgery Center LLC's NPPES record is Vinod Pathy, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Plastic Surgery Center LLC's NPI active?
- Yes — Northeast Plastic Surgery Center LLC's NPI (1932586682) is active in the NPPES registry as of the last update on 2015-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.