NPIMap

Organization Active NPI

Victor Dermatology & Rejuvenation, PC

  • Specialist
  • New York, NY
National Provider Identifier
1245409382
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
138656 Issued in NY
Legal business name
VICTOR DERMATOLOGY & REJUVENATION, PC
Practice address
30 E 76TH St
6 Floor
New York, NY 10021-2700
Phone
(212) 249-3050
Fax
(212) 249-1482
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Dr. Steven Allan Victor, M.D.
Title
President
Phone
(212) 249-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 138656 NY Primary

Addresses

Primary practice location

30 E 76TH St
6 Floor
New York, NY 10021-2700

Mailing address

30 E 76TH St
6 Floor
New York, NY 10021-2700
Phone (212) 249-3050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1245409382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 76TH ST",
            "address_2": "6 FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212700",
            "telephone_number": "212-249-3050",
            "fax_number": "212-249-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 76TH ST",
            "address_2": "6 FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212700",
            "telephone_number": "212-249-3050",
            "fax_number": "212-249-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR DERMATOLOGY & REJUVENATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-249-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "138656",
            "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 Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.