Jonathan L. Nelson, M.D., P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

222467 Issued in NY

Legal business name

JONATHAN L. NELSON, M.D., P.C.

Practice address

33 Cedar St
Rye, NY 10580-2031

Phone

(914) 251-9110

Fax

(914) 921-4877

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Lawrence Nelson, M.D.NPI 1881618304

Title

President

Phone

(914) 251-9110

Specialties & licenses 1

Addresses

Other names 1

• Family Dermatology Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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

• Jonathan Lawrence Nelson, MD

  • Dermatology Physician
  • Rye, NY
  • NPI 1881618304
  Medicare reassignment Care Compare group NPD Authorized official
• Lauren Michelle Sinclair, PA-C

  • Medical Physician Assistant
  • Rye, NY
  • NPI 1164726386
  Medicare reassignment Care Compare group
• Valerie Rose Sprovieri, PA-C

  • Physician Assistant
  • Bronx, NY
  • NPI 1679373732
  Medicare reassignment NPD
• Stephanie Marie Peltz, RPA-C

  • Physician Assistant
  • Norwich, NY
  • NPI 1770810228
  Medicare reassignment
• Ana Lorena Pisera

  • Physician Assistant
  • Rye, NY
  • NPI 1174167134

  Single Specialty

  NPD

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1215096375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CEDAR ST",
            "address_2": "SUITE 6",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802031",
            "telephone_number": "914-251-9110",
            "fax_number": "914-921-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CEDAR ST",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802031",
            "telephone_number": "914-251-9110",
            "fax_number": "914-921-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN L. NELSON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-251-9110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "222467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dermatology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• In Town Pediatrics, PLLC
• Institutional Pharmacy Services Inc
• Gabriel Lehman Jacobson, LMHC
• Henry Jarecki, M.D.
• Jenifer M Johnson, MD
• Anney Kunthara Joseph, O.D.
• Lynn G Josephson
• Brian Kabcenell, D.M.D.
• Shkala Karzai, MD
• Stephanie Laurel Kasen, ME

• Dermatology Physician in Rye, NY
• Providers in Rye, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.