Dr Eliot Y Ghatan MD PC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

DR ELIOT Y GHATAN MD PC

Practice address

1226 Ocean Pkwy
Brooklyn, NY 11230-5102

Phone

(718) 253-2053

Fax

(718) 253-2051

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Eliot Y Ghatan, MD

Title

Owner

Phone

(718) 253-2053

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• H. Eliot Y. Ghatan, MD

  • Procedural Dermatology Physician
  • Brooklyn, NY
  • NPI 1730165614
  Medicare reassignment NPD
• Evelyn R Ghatan, MD

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1811951494
  NPD (past)
• Arnold Jay Stein, M.D.

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1437232865
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1154635902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305102",
            "telephone_number": "718-253-2053",
            "fax_number": "718-253-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305102",
            "telephone_number": "718-253-2053",
            "fax_number": "718-253-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ELIOT Y GHATAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "GHATAN",
        "authorized_official_first_name": "ELIOT Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-253-2053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Procedural Dermatology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.