Active NPI
Michael Paltiel MD PC
- Medical Specialty Clinic/Center
- Great Neck, NY
National Provider Identifier
1013175165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 245541
- Legal business name
- MICHAEL PALTIEL MD PC
- Practice address
- 107 Northern Blvd Ste 206
Great Neck, NY 11021-4309 - Phone
- (516) 829-3376
- Fax
- (516) 829-2019
- NPI assigned
- May 27, 2008
- 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
- Michael Paltiel, M.D.
- Title
- Dermatologist
- Phone
- (917) 526-8498
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 |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 245541 | NY | Primary |
Addresses
Primary practice location
107 Northern Blvd Ste 206
Great Neck, NY 11021-4309
Mailing address
10845 65TH Ave
Forest Hills, NY 11375-1419
Phone (917) 526-8498
Other names 1
- Adult and Pediatric Dermatology
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 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Forest Hills, NY
- NPI 1760525935
-
- Plastic Surgery Physician
- New York, NY
- NPI 1386729648
-
- Family Nurse Practitioner
- Forest Hills, NY
- NPI 1659838977
-
- Physical Therapist
- Forest Hills, NY
- NPI 1134155492
-
- Family Nurse Practitioner
- Forest Hills, NY
- NPI 1063877082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288569600000",
"number": "1013175165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10845 65TH AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751419",
"telephone_number": "917-526-8498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 NORTHERN BLVD STE 206",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214309",
"telephone_number": "516-829-3376",
"fax_number": "516-829-2019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL PALTIEL MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-27",
"last_updated": "2010-11-01",
"status": "A",
"authorized_official_last_name": "PALTIEL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "DERMATOLOGIST",
"authorized_official_telephone_number": "917-526-8498",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NY",
"license": "245541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Adult and Pediatric Dermatology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.