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NPI · 1255879748 · NPPES-sourced

Northeast Breast Reconstruction LLC

ActivePlastic and Reconstructive Surgery Physician
NPI Number
1255879748
Type 2 · Organisation
Contact
(718) 672-2824
License NJ · 25MA10021400
Last Updated
Enumerated
Primary practice addressCT · 06890
21 Southport TerraceSouthport, CT 06890
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About this NPIWhat this record shows.

NPI 1255879748 is registered to Northeast Breast Reconstruction LLC, a healthcare organisation classified as "Plastic and Reconstructive Surgery Physician" and located at 21 Southport Terrace in Southport, Connecticut. The organisation's authorised official is Shareef Jandali. The organisation has been enumerated in the NPI registry since 2017.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Northeast Breast Reconstruction LLC accepts. To confirm in-network status with your specific health plan, contact Northeast Breast Reconstruction LLC directly at (718) 672-2824.

Frequently asked

Yes. NPI 1255879748 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Plastic and Reconstructive Surgery Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (718) 672-2824.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Northeast Breast Reconstruction LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy2086S0122X
Last updated
Enumerated
StatusActive
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