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

Elevation Plastic Surgery, PC

Organization Plastic Surgery Physician · NPI 1073755443

Elevation Plastic Surgery, PC is a Plastic Surgery Physician in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2009.

Licensed in
CT
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

60 Temple St Ste 4B
New Haven, CT 06510-2716
Phone: (203) 752-0015
Fax: (203) 772-2814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 046053 (CT)

Record details

NPI number1073755443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leo Otake — Medical Director · (203) 752-0015
NPI enumeratedApril 1, 2009
Last updated in NPPESApril 1, 2009
Mailing address60 Temple St, Suite 4b, New Haven, CT 06510-2716

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