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

Individual provider Plastic Surgery Physician · NPI 1396777025

Ron Israeli, MD is a Plastic and Reconstructive Surgery in Great Neck, New York. Graduated from Boston University School of Medicine in 1990, 36 years ago. Practices with Aesthetic Plastic Surgery PC, a 10-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Trained at
Boston University School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

833 Northern Blvd Ste 160
Great Neck, NY 11021-5322
Phone: (516) 498-8400
Fax: (516) 498-8404
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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 187948 (NY)

Record details

NPI number1396777025
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Aesthetic Plastic Surgery Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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