Laser & Mohs Surgery of New York PLLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

207656 Issued in NY

Legal business name

LASER & MOHS SURGERY OF NEW YORK PLLC

Practice address

130 W 42ND St Ste 1805
New York, NY 10036-7902

Phone

(212) 391-8600

Fax

(212) 391-8601

NPI assigned

Nov 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Adelle T Quintana, M.D.NPI 1386668119

Title

Owner

Phone

(212) 391-8600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Adelle T Quintana, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1386668119
  Medicare reassignment NPD Authorized official
• Michael Tabrizi, BA

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • New York, NY
  • NPI 1891541272
  NPD

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1043465602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 42ND ST STE 1805",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367902",
            "telephone_number": "212-391-8600",
            "fax_number": "212-391-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 42ND ST STE 1805",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367902",
            "telephone_number": "212-391-8600",
            "fax_number": "212-391-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER & MOHS SURGERY OF NEW YORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "ADELLE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-391-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "207656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rheoneil A Lascano, FNP
• Lauren Beth Lascher, LCSW
• Jeanette Lascoumes Friedman, LCSW
• Naomi S Lasdun, M.A., CCC-SLP
• Justin Michael Lasella, PA-C
• Laser & Surgical Vein Care, P.C.
• Laser and Corneal Surgery Associates, PC
• Laser Eye Practice of New York, PLLC
• Laser Periodontics Group PLLC
• Laser Spine & Pain Institute LLC

• Point of Service in New York, NY
• Providers in New York, NY by specialty
• Point of Service in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.