Active NPI
Michele C Pauporte MD LLC
- MOHS-Micrographic Surgery Physician
- New York, NY
National Provider Identifier
1104395839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104395839 | Other | NY | TYPE 2 NPI |
National Provider Directory
National Provider DirectoryLocations
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.