Active NPI
Heights Dermatology and Laser Group PC
- Specialist
- Brooklyn, NY
National Provider Identifier
1013058890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 192349
- Legal business name
- HEIGHTS DERMATOLOGY AND LASER GROUP PC
- Practice address
- 115 Remsen St
Brooklyn, NY 11201-4212 - Phone
- (718) 852-4646
- Fax
- (718) 624-5972
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc Robert Avram, MD
- Title
- Physician
- Phone
- (718) 852-4646
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 192349 | NY | Primary |
Addresses
Primary practice location
115 Remsen St
Brooklyn, NY 11201-4212
Mailing address
115 Remsen St
Brooklyn, NY 11201-4212
Phone (718) 852-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Specialist
- Brooklyn, NY
- NPI 1629063748
-
- Specialist
- Brooklyn, NY
- NPI 1972598100
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1083622096
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1346404357
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1598789075
-
- Specialist
- Brooklyn, NY
- NPI 1144335068
-
- Specialist
- Brooklyn, NY
- NPI 1932215357
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1942214580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320192000000",
"number": "1013058890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 REMSEN ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014212",
"telephone_number": "718-852-4646",
"fax_number": "718-624-5972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 REMSEN ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014212",
"telephone_number": "718-852-4646",
"fax_number": "718-624-5972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEIGHTS DERMATOLOGY AND LASER GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2011-11-02",
"status": "A",
"authorized_official_last_name": "AVRAM",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "718-852-4646",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "192349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Michelle Heidami
- Katherine Heidelberger
- Heidi Lynch Mental Health Counseling PLLC
- Vera Heifetz-Khrakovsky, DDS
- Heights Apothecary Inc
- Heights Medical OB/GYN, P.C.
- Heights Nephrology Medical Group, PC
- Heights Opticians
- Heights Pediatrics, P.C.
- Heights-Hill Mental Health Service SBPC Community Advisory Board, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.