Plastic & Reconstructive Surgery Inc
Plastic & Reconstructive Surgery Inc is a healthcare organization registered as Plastic and Reconstructive Surgery Physician in Pawtucket, RI, holding Type 2 (organization) NPI 1033212170 since 2006. The authorized official on file is Charles Johnson, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1033212170 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Plastic & Reconstructive Surgery Inc |
| Practice address | 333 SCHOOL STREET, SUITE 305, Pawtucket, RI, 02860 |
| Phone | 4017287950 |
| Fax | 4017297952 |
| Enumeration date | 2006-09-06 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Charles Johnson |
|---|---|
| Title | President |
| Phone | 4017287950 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2086S0122X | Plastic and Reconstructive Surgery Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300103 | Other | — | UNITED HEALTHCARE |
| 001120 | Other | RI | BLUE CHIP |
| 20624 | Other | RI | BLUE CROSS BLUE SHIELD |
| 0207928001 | Other | — | CIGNA |
Copy-ready billing details
Provider: Plastic & Reconstructive Surgery Inc NPI: 1033212170 Taxonomy: 2086S0122X (Plastic and Reconstructive Surgery Physician) Address: 333 SCHOOL STREET, SUITE 305, Pawtucket, RI, 02860
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518914084 | Karen Iannucci | Individual | Nurse Practitioner | Pawtucket, RI |
| 1457391336 | Cynthia Hanna | Individual | Gynecology Physician | Pawtucket, RI |
| 1679504286 | Tawfik Hawwa | Individual | Obstetrics & Gynecology Physician | Pawtucket, RI |
| 1497780993 | David S. Pomerantz MD Inc | Organization | Dermatology Physician | Pawtucket, RI |
| 1942225610 | Neil Toback | Individual | Dermatology Physician | Pawtucket, RI |
| 1972529832 | David Pomerantz | Individual | Dermatology Physician | Pawtucket, RI |
| 1124101340 | Blackstone Cardiology Associates | Organization | Cardiovascular Disease Physician | Pawtucket, RI |
Verify this record
Cross-check NPI 1033212170 against the authoritative CMS record: view Plastic & Reconstructive Surgery Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Plastic & Reconstructive Surgery Inc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.