Individual provider Active NPI

Fitzgeraldo A. Sanchez, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1053440867
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME102887 Issued in FL
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

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
005970700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PR2 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

Enrollment IDStateProvider typePAC IDDetails
I20160303000549 NY Practitioner - Dermatology 4486717931 Reassigns benefits to 1 organization
I20250725002454 PR Practitioner - Dermatology 4486717931 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions85
Skin biopsy139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243174NYMDMOHS-Micrographic Surgery Physician
ME102887FLMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Specs of PA PLLC Dermatology CurrentSince Feb 25, 2024 Accepting new patients
Commonwealth Health LLC Dermatology CurrentSince Jun 10, 2025 Accepting new patients
Vascular Associates LLC Past Accepting new patients
Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC PastSince Feb 19, 2018 Accepting new patients
Mid-Florida Dermatology Associates P.a. Dermatology Past Accepting new patients
Dermatology on the Spot, LLC Dermatology PastSince Feb 17, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.