Active NPI
Modern Dermatology PLLC
- Specialist
- New York, NY
National Provider Identifier
1184068017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 236599
- Legal business name
- MODERN DERMATOLOGY PLLC
- Practice address
- 37 E 30TH St
New York, NY 10016-7313 - Phone
- (212) 379-6477
- NPI assigned
- Apr 22, 2013
- 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
- Dr. Kathryn Frew, M.D.
- Title
- Owner
- Phone
- (212) 379-6477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 236599 | NY | Primary |
Addresses
Primary practice location
37 E 30TH St
New York, NY 10016-7313
Mailing address
35 E 30TH St Apt 1a
New York, NY 10016-7308
Phone (212) 379-6477
National Provider Directory
National Provider DirectoryLocations
65 Broadway
Ste 1100
New York, NY 10006
Phone (212) 379-6477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686182400000",
"number": "1184068017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 E 30TH ST APT 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100167308",
"telephone_number": "212-379-6477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 E 30TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100167313",
"telephone_number": "212-379-6477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN DERMATOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-22",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A",
"authorized_official_last_name": "FREW",
"authorized_official_first_name": "KATHRYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-379-6477",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "236599",
"primary": true
}
],
"identifiers": [],
"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 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.