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Cosmetic Surgery of New York PC

Specialist in Port Jefferson Station, NY · enumerated 2007 · authorized official Robert Jacobs, Surgeon.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124229562

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Registry record

Entity type Organization (Type 2)
Legal business name Cosmetic Surgery of New York PC
Practice address 4616 Nesconset Hwy, Port Jefferson Station, NY, 11776
Fax (631) 331-2654
Enumeration date May 31, 2007
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

174400000X Specialist Other Service Providers Primary

Authorized official

Name Robert Jacobs
Title Surgeon

Other identifiers

Identifier Type State Issuer
A400036602 Other NY PTAN

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Cosmetic Surgery of New York PC?
Cosmetic Surgery of New York PC is registered in NPPES as a Specialist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.