Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cosmoplastic Surgery PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1922404094

Cosmoplastic Surgery PLLC is a Plastic and Reconstructive Surgery Physician in Jericho, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

500 N Broadway Ste 200
Jericho, NY 11753-2127
Phone: (929) 800-1887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 213702-1 (NY)

Record details

NPI number1922404094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kaveh Alizadeh — Owner · (908) 490-0036
NPI enumeratedNovember 17, 2014
Last updated in NPPESNovember 17, 2014
Mailing address45 S Park Pl, 298, Morristown, NJ 07960-3924