Michael Tassavor, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

25MA11789400 Issued in NJ

Practice address

820 2ND Ave RM 3a
New York, NY 10017-4534

Phone

(212) 661-3376

Fax

(212) 661-3366

NPI assigned

Apr 16, 2018

Last updated

Sep 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

University of Connecticut School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dermatology Center of North JerseyGroup PAC ID 6406802388, 4 clinicians

New Jersey Dermatology and Aesthetics Center LLCGroup PAC ID 3678822608, 4 clinicians

Manhattan Dermatology and Cosmetics PLLCGroup PAC ID 4385778570, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.tassavor.1@7628.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Manhattan Dermatology and Cosmetics PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1639495732
  Medicare reassignment Care Compare group NPD
• Dermatology Center of North Jersey

  • Specialist
  • Clifton, NJ
  • NPI 1326141110
  Medicare reassignment Care Compare group NPD
• New Jersey Dermatology and Aesthetics Center LLC

  • Dermatology Physician
  • Marlboro, NJ
  • NPI 1780178871
  Medicare reassignment Care Compare group NPD
• New York Dermatology & Mohs Surgery Group, PLLC

  • Dermatology Physician
  • Commack, NY
  • NPI 1851555122
  Medicare reassignment NPD
• Skin Cancer Center Inc

  • Ambulatory Surgical Clinic/Center
  • Cincinnati, OH
  • NPI 1871526004
  NPD (past)

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1043707003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TEN ROD HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672849",
            "telephone_number": "212-659-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 2ND AVE RM 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174534",
            "telephone_number": "212-661-3376",
            "fax_number": "212-661-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASSAVOR",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA11789400",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "323010-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarper Ali Taskiran, M.D.
• Taslim Psychotherapy PLLC
• Tanjida Tasmin, PA-C
• Amanda Tasolides
• Ngnam Julienne Tassa, PA-C
• Jawad Tassawer
• Ioannis Tassiulas, M.D.
• Andrew B Tassler, M.D.
• Farrahdya Tassy, PSYD
• Rudy Tassy, PA-C

• MOHS-Micrographic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• MOHS-Micrographic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.