Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Elevation Plastic Surgery, PC

Organization Plastic Surgery Physician · NPI 1073755443

Elevation Plastic Surgery, PC provides Plastic Surgery Physician services 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 Not confirmed with CMS for 17 years — call before visiting
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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