Manhattan Dermatologic Health, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

214926 Issued in NY

Legal business name

MANHATTAN DERMATOLOGIC HEALTH, P.C.

Practice address

1317 3Rd Ave Lowr Level
New York, NY 10021-2995

Phone

(212) 288-2536

Fax

(212) 288-3206

NPI assigned

Jul 31, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pairote Laochumroonvorapong, MDNPI 1780679985

Title

Owner

Phone

(212) 288-2536

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pairote Laochumroonvorapong, M.D., PH.D

  • Procedural Dermatology Physician
  • New York, NY
  • NPI 1780679985
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1003072901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE LOWR LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212995",
            "telephone_number": "212-288-2536",
            "fax_number": "212-288-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE LOWR LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212995",
            "telephone_number": "212-288-2536",
            "fax_number": "212-288-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN DERMATOLOGIC HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "LAOCHUMROONVORAPONG",
        "authorized_official_first_name": "PAIROTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-288-2536",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "214926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.