Complete Skin & Laser Surgery PC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

215623 Issued in NY

Legal business name

COMPLETE SKIN & LASER SURGERY PC

Practice address

225 E 64TH St FL 2
New York, NY 10065-6690

Phone

(212) 759-4900

NPI assigned

Dec 26, 2013

Last updated

Dec 26, 2013By 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. Elizabeth Hale, MDNPI 1649261769

Title

Owner

Phone

(917) 414-0198

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Elizabeth Hale, M.D.

  • Procedural Dermatology Physician
  • New York, NY
  • NPI 1649261769
  Authorized official Same address or phone

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1245651827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 64TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E 64TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656690",
            "telephone_number": "212-759-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE SKIN & LASER SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-414-0198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "215623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Dermatology Care, PC
• Complete Medical Care Services of New York, PC (Complete Care)
• Complete Podiatry PLLC
• Complete Podiatry Services, P.C.
• Complete Rehab Medicine Care P.C.
• Complete Solutions for Life,Inc
• Complete Wellness Medical PC
• Complex Care Anesthesia
• Complex Care Solutions
• Complex Spine Care Orthopaedic Surgery

• MOHS-Micrographic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• MOHS-Micrographic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.