Individual provider Active NPI

Lenora I Felderman, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1235264011
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
115920-1 Issued in NY
Practice address
74 E 79TH St Apt 1B
New York, NY 10075-0266
Phone
(212) 734-0091
Fax
(212) 861-8456
NPI assigned
Feb 22, 2007
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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 115920-1 NY Primary

Addresses

Primary practice location

74 E 79TH St Apt 1B
New York, NY 10075-0266

Mailing address

74 E 79TH St Ste 1
New York, NY 10075-0264
Phone (212) 734-0091

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
I20091215000351 NY Practitioner - Dermatology 8820138381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

74 E 79TH St
Apt 1a
New York, NY 10075-0266
Phone (212) 734-0091

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions76
Removal or shaving of skin growth1-10
Skin biopsy217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115920-1NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Felderman Dermatology LLC CurrentSince Dec 11, 2009 Accepting new patients

Locations

1317 3rd Ave
Fl 8
New York, NY 10021
Phone (212) 434-6400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1235264011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 E 79TH ST STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750264",
            "telephone_number": "212-734-0091",
            "fax_number": "212-861-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 E 79TH ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750266",
            "telephone_number": "212-734-0091",
            "fax_number": "212-861-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDERMAN",
        "first_name": "LENORA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "115920-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.