128 CENTRAL PARK SOUTH PHYSICIANS PLLC — NPI 1629468939 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1629468939

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208200000X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery

Box 32 Service Location & ZIP+4

128 CENTRAL PARK S, NEW YORK, NY, 10019-1565

✓ 9-Digit EDI 837 ZIP+4 (10019-1565)

Practice Phone & Referral Fax

(212) 265-2724

Fax: (212) 265-2735

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1629468939 (128 CENTRAL PARK SOUTH PHYSICIANS PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1629468939` (NPI-2 Organization / Facility)
Provider / Legal Name	128 CENTRAL PARK SOUTH PHYSICIANS PLLC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery NUCC Code: `208200000X` (Plastic Surgery)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	128 CENTRAL PARK S, NEW YORK, NY, 10019-1565
Practice Telephone / Fax	Tel: (212) 265-2724 \| Fax: (212) 265-2735
Administrative Mailing Address	128 CENTRAL PARK S, NEW YORK, NY, 10019-1565
Enumeration & Last Sync	Enumerated: 2015-01-26 \| CMS Record Updated: 2015-01-26
Authorized Official	CHRISTOPHER CHIA (Medical Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

128 CENTRAL PARK S, NEW YORK, NY, 10019-1565

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Plain-English Taxonomy & CMS Crosswalk (208200000X)

What Does Taxonomy Code 208200000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208200000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 24 (Physician/Plastic and Reconstructive Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Plastic Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (128 CENTRAL PARK SOUTH PHYSICIANS PLLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208200000X` — Plastic Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery	State: NY \| License: `225031` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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128 CENTRAL PARK SOUTH PHYSICIANS PLLC (NPI #1629468939)