Individual provider Active NPI

Jerome Marvin Felsenstein, M.D.

  • Dermatology Physician
  • Ossining, NY
National Provider Identifier
1124137492
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
112406 Issued in NY
Practice address
100 S Highland Ave
Ossining, NY 10562-5634
Phone
(914) 941-5770
Fax
(914) 941-3141
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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 112406 NY Primary

Addresses

Primary practice location

100 S Highland Ave
Ossining, NY 10562-5634

Mailing address

100 S Highland Ave
Ossining, NY 10562-5634
Phone (914) 941-5770

Other identifiers 1

IdentifierTypeStateIssuer
321691OtherMEDICARE

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
I20110426000760 NY Practitioner - Dermatology 5597940049 Reassigns benefits to 1 organization
Practice locations: Briarcliff Manor, NY; Ossining, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians

Practice addresses (Care Compare)

449 N State Rd
Suite 203
Briarcliff Manor, NY 10510-1478
Phone (914) 488-8188

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions306
Skin biopsy61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112406NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology PC Dermatology CurrentSince Jun 1, 2012 Accepting new patients
Howard D. Solomon, DO, PC Dermatology Past Accepting new patients
Anthony Buglino DO PLLC Past Accepting new patients

Locations

449 N State Rd
Ste 203
Briarcliff Manor, NY 10510
Phone (914) 488-8188

10460 Queens Blvd
Ste 1C
Forest Hills, NY 11375
Phone (718) 275-5555

6 Lowell Ave
New Hyde Park, NY 11040
Phone (516) 326-4160

100 S Highland Ave
Ossining, NY 10562
Phone (914) 373-4949

4 Technology Dr
Ste 180
Setauket, NY 11733
Phone (631) 587-1132

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jfelsenstein@advderm.emadirect.md

Organizations & group practices 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1124137492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S HIGHLAND AVE",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105625634",
            "telephone_number": "914-941-5770",
            "fax_number": "914-941-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S HIGHLAND AVE",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105625634",
            "telephone_number": "914-941-5770",
            "fax_number": "914-941-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELSENSTEIN",
        "first_name": "JEROME",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "112406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "321691",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ossining, NY

Sources for this page

Verify at the official NPI Registry.