Merrick Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MERRICK DERMATOLOGY PC

Practice address

1548 Jerusalem Ave
Merrick, NY 11566-1344

Phone

(516) 489-8060

Fax

(516) 489-8813

NPI assigned

Jun 19, 2009

Last updated

Jul 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel M Rosenthal, M.D.NPI 1134118037

Title

President

Phone

(516) 489-8060

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Mitchell Rosenthal, M.D.

  • Dermatology Physician
  • Merrick, NY
  • NPI 1134118037
  Authorized official Same address or phone

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1245467935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 JERUSALEM AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661344",
            "telephone_number": "516-489-8060",
            "fax_number": "516-489-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 JERUSALEM AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661344",
            "telephone_number": "516-489-8060",
            "fax_number": "516-489-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRICK DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-489-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francine Mendelowitz, LCSW
• Marissa Mendelsohn, LMHC
• Odaie Noofan Menwer, PHARMD
• Merrick Apothecary Corp. (Long Island Apothecary)
• Merrick Dental Care
• Merrick Drugs Inc. (the medicine shoppe)
• Merrick Family Practice Management Inc
• Merrick Medical Care PLLC
• Merrick Medical Wellness PLLC
• Merrick Nuclear Cardiolog PLLC

• Dermatology Physician in Merrick, NY
• Providers in Merrick, 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 Jul 21, 2009; 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.