Skip to main content
OrganizationActive

Northeast Breast Reconstruction Llc

Surgery - Plastic and Reconstructive Surgery

SHAREEF JANDALI
NPI: 1255879748Southport, Connecticut, 06890(718) 672-2824

About Northeast Breast Reconstruction Llc

Northeast Breast Reconstruction Llc is a healthcare organization providing Surgery - Plastic and Reconstructive Surgery services, with specialized expertise in Plastic and Reconstructive Surgery, registered under National Provider Identifier (NPI) number 1255879748.

The authorized official for Northeast Breast Reconstruction Llc is SHAREEF JANDALI. The organization is headquartered at 21 SOUTHPORT TERRACE, Southport, Connecticut 06890. The main office can be reached at (718) 672-2824.

Northeast Breast Reconstruction Llc has been NPI-registered since 2017.

Locations & Contact

Primary Location

Address
21 SOUTHPORT TERRACE
City
Southport
State
Connecticut
ZIP
06890
Phone
(718) 672-2824
Fax
(718) 672-3280
View on Google Maps

Authorized Official

Name
SHAREEF JANDALI

Mailing Address

Address
21 SOUTHPORT TERRACE
City
SOUTHPORT
State
CT
ZIP
06890

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Surgery - Plastic and Reconstructive Surgery
Classification
Surgery
Specialization
Plastic and Reconstructive Surgery
Taxonomy Code
2086S0122X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Northeast Breast Reconstruction Llc's NPI number?
Northeast Breast Reconstruction Llc's National Provider Identifier (NPI) is 1255879748. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Northeast Breast Reconstruction Llc specialize in?
Northeast Breast Reconstruction Llc specializes in Surgery - Plastic and Reconstructive Surgery.
Where is Northeast Breast Reconstruction Llc located?
Northeast Breast Reconstruction Llc practices at 21 SOUTHPORT TERRACE, Southport, Connecticut 06890. You can reach them by phone at (718) 672-2824.
Does Northeast Breast Reconstruction Llc accept Medicare?
Based on available data, Northeast Breast Reconstruction Llc is not currently enrolled in the Medicare program.
Does Northeast Breast Reconstruction Llc offer telehealth or virtual visits?
Northeast Breast Reconstruction Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Northeast Breast Reconstruction Llc holds NPI 1255879748, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.