Organization Active NPI

Dermatology Associates of New York, PLLC

  • Dermatology Physician
  • Harrison, NY
National Provider Identifier
1225433246
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
217867 Issued in NY
Legal business name
DERMATOLOGY ASSOCIATES OF NEW YORK, PLLC
Practice address
440 Mamaroneck Ave
Suite 412
Harrison, NY 10528-2418
Phone
(914) 777-1799
Fax
(914) 777-1899
NPI assigned
Nov 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Dr. Debbie Meral Palmer, D.O.NPI 1700857323
Title
Managing Partner
Phone
(914) 777-1799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 217867 NY Primary

Addresses

Primary practice location

440 Mamaroneck Ave
Suite 412
Harrison, NY 10528-2418

Mailing address

440 Mamaroneck Ave
Suite 412
Harrison, NY 10528-2418
Phone (914) 777-1799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150115000348 NY Part B Supplier - Clinic/Group Practice 4385968601 Receives reassigned benefits from 2 practitioners
Practice locations: Harrison, NY

National Provider Directory

National Provider Directory

Locations

440 Mamaroneck Ave
Ste 412
Harrison, NY 10528
Phone (914) 761-8667

440 Mamaroneck Ave
Ste 404
Harrison, NY 10528
Phone (914) 777-1799

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1225433246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MAMARONECK AVE",
            "address_2": "SUITE 412",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282418",
            "telephone_number": "914-777-1799",
            "fax_number": "914-777-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MAMARONECK AVE",
            "address_2": "SUITE 412",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282418",
            "telephone_number": "914-777-1799",
            "fax_number": "914-777-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "MERAL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "914-777-1799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "217867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.