Organization Active NPI

Michele C Pauporte MD LLC

  • MOHS-Micrographic Surgery Physician
  • New York, NY
National Provider Identifier
1104395839
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
Legal business name
MICHELE C PAUPORTE MD LLC
Practice address
120 E 86TH St FL 2
New York, NY 10028
Phone
(212) 427-1898
NPI assigned
Nov 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Michele Pauporte, MD
Title
Owner
Phone
(415) 305-3478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X Primary

Addresses

Primary practice location

120 E 86TH St FL 2
New York, NY 10028

Mailing address

120 E 86TH St FL 2
New York, NY 10028-1062
Phone (212) 427-1898

Other practice location 1

35 E 85th St # 1S2S
New York, NY 10028-0954
Phone (415) 305-3478

Other identifiers 1

IdentifierTypeStateIssuer
1104395839OtherNYTYPE 2 NPI

National Provider Directory

National Provider Directory

Locations

120 E 86th St
Fl 2
New York, NY 10028
Phone (212) 427-2000

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1104395839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 86TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281062",
            "telephone_number": "212-427-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 86TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10028",
            "telephone_number": "212-427-1898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 E 85th St # 1S2S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100280954",
            "country_code": "US",
            "telephone_number": "415-305-3478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHELE C PAUPORTE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "PAUPORTE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-305-3478",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1104395839",
            "state": "NY"
        }
    ],
    "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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.