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

Northeast Plastic Surgery Center LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1932586682

Northeast Plastic Surgery Center LLC is a Plastic and Reconstructive Surgery Physician in Old Lyme, Connecticut. Licensed in Connecticut. Registered with an NPI since 2015.

Licensed in
CT
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5-1 Davis Rd W Ste 3
Old Lyme, CT 06371
Phone: (917) 699-3727
Fax: (718) 672-4251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 045607 (CT)

Record details

NPI number1932586682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vinod Pathy — Owner · (917) 699-3727
NPI enumeratedMay 1, 2015
Last updated in NPPESMay 1, 2015
Mailing address12 Halls Rd, Unit 878, Old Lyme, CT 06371-7000

Other providers in Old Lyme