Active NPI
Fitzgeraldo A. Sanchez, MD
- Dermatology Physician
- New York, NY
National Provider Identifier
1053440867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME102887
- Practice address
- 117 E 18TH St # FR1
New York, NY 10003 - Phone
- (212) 673-5633
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 243174 | NY | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | ME102887 | FL | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 243174 | NY | |
| Dermatopathology Physician | 207ND0900X | 243174 | NY | |
| Dermatopathology Physician | 207ND0900X | ME102887 | FL | |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | 243174 | NY | |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | ME102887 | FL | |
| Dermatology Physician | 207N00000X | ME102887 | FL | Primary |
Addresses
Primary practice location
117 E 18TH St # FR1
New York, NY 10003
Mailing address
90 West St Apt 18H
New York, NY 10006-1048
Phone (212) 842-0688
Other practice location 1
1804 Oakley Seaver Drive Suite F
Clermont, FL 34711-6272
Phone (407) 499-0755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005970700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Ponce School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
520 Calle J Jimenez
San Juan, PR 00918-2605
Phone (787) 751-6018
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 85 |
| Skin biopsy | 139 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243174 | NY | MD | MOHS-Micrographic Surgery Physician |
| ME102887 | FL | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derm Specs of PA PLLC | Dermatology | Current | Accepting new patients |
| Commonwealth Health LLC | Dermatology | Current | Accepting new patients |
| Vascular Associates LLC | Past | Accepting new patients | |
| Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC | Past | Accepting new patients | |
| Mid-Florida Dermatology Associates P.a. | Dermatology | Past | Accepting new patients |
| Dermatology on the Spot, LLC | Dermatology | Past | Accepting new patients |
Locations
1027 46th Ave
Fl 1
Long Island City, NY 11101
520 Calle Juan J Jimenez
San Juan, PR 00918
Phone (787) 751-6018
Interoperability endpoints
- fis9007@direct.nyp.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- San Juan, PR
- NPI 1356154991
-
- Dermatology Physician
- New York, NY
- NPI 1134349954
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1528823507
-
- Gynecology Physician
- New York, NY
- NPI 1710022140
-
- Dermatology Physician
- Port Orange, FL
- NPI 1487058533
-
- Dermatology Physician
- Orlando, FL
- NPI 1619018561
-
- Specialist
- Panama City, FL
- NPI 1821129313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1053440867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 WEST ST APT 18H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100061048",
"telephone_number": "212-842-0688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E 18TH ST # FR1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-673-5633"
}
],
"practiceLocations": [
{
"address_1": "1804 Oakley Seaver Drive Suite F",
"address_purpose": "LOCATION",
"city": "Clermont",
"state": "FL",
"postal_code": "347116272",
"country_code": "US",
"telephone_number": "407-499-0755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANCHEZ",
"first_name": "FITZGERALDO",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "243174",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "ME102887",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NY",
"license": "243174",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NY",
"license": "243174",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "FL",
"license": "ME102887",
"primary": false
},
{
"code": "207NI0002X",
"taxonomy_group": "",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": "NY",
"license": "243174",
"primary": false
},
{
"code": "207NI0002X",
"taxonomy_group": "",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": "FL",
"license": "ME102887",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME102887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005970700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.