Individual provider Active NPI

Harold Mermelstein, M.D.

  • Dermatology Physician
  • Scarsdale, NY
National Provider Identifier
1053308429
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
136631 Issued in NY
Practice address
1075 Central Park Ave
Suite 304
Scarsdale, NY 10583-3242
Phone
(914) 667-2242
Fax
(914) 667-8521
NPI assigned
Sep 30, 2005
Last updated
May 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 136631 NY Primary

Addresses

Primary practice location

1075 Central Park Ave
Suite 304
Scarsdale, NY 10583-3242

Mailing address

1075 Central Park Ave
Suite 304
Scarsdale, NY 10583-3242
Phone (914) 667-2242

Other identifiers 1

IdentifierTypeStateIssuer
00436219MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071117000164 NY Practitioner - Dermatology 5092803429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1075 Central Park Ave
Scarsdale, NY 10583-3236
Phone (914) 667-2242

Merit-based Incentive Payment System (MIPS)

Final score
95.52 of 100Reported as individual
Quality
91.04
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions975
Skin biopsy670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Harold Mermelstein, M.D., P.C. Dermatology CurrentSince Oct 9, 2007 Accepting new patients
Howard D. Solomon, DO, PC Dermatology Past Accepting new patients

Locations

559 Gramatan Ave
Ste 205
Mount Vernon, NY 10552
Phone (914) 667-2242

1075 Central Park Ave
Ste 304
Scarsdale, NY 10583
Phone (914) 667-2242

Interoperability endpoints

  • Direct secure messaging: mermelstein.harold.006.0320133@hame.meditab.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1053308429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE",
            "address_2": "SUITE 304",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833242",
            "telephone_number": "914-667-2242",
            "fax_number": "914-667-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE",
            "address_2": "SUITE 304",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833242",
            "telephone_number": "914-667-2242",
            "fax_number": "914-667-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMELSTEIN",
        "first_name": "HAROLD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "136631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00436219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.