Individual provider Active NPI

David Scott Orentreich, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1235137449
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
147024 Issued in NY
Practice address
909 5TH Ave
New York, NY 10021-4115
Phone
(212) 794-0800
Fax
(212) 794-6261
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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 147024 NY Primary

Addresses

Primary practice location

909 5TH Ave
New York, NY 10021-4115

Mailing address

909 5TH Ave
New York, NY 10021-4115
Phone (212) 794-0800

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
I20110519000502 NY Practitioner - Dermatology 2769668151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N Orentreich and D Orentreich PTRGroup PAC ID 1557252392, 5 clinicians

Practice addresses (Care Compare)

909 5TH Ave
New York, NY 10021-4115
Phone (212) 794-0800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions117
Removal or shaving of skin growth1-10
Skin biopsy16

National Provider Directory

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

Networks

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

Organizations & group practices 1

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1235137449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214115",
            "telephone_number": "212-794-0800",
            "fax_number": "212-794-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214115",
            "telephone_number": "212-794-0800",
            "fax_number": "212-794-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORENTREICH",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "147024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.