NPIMap

Individual provider Active NPI

Seth Wilentz, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1255316121
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
234923 Issued in NY
Practice address
10 Union SQ E
Suite 3C
New York, NY 10003-3314
Phone
(212) 844-8800
NPI assigned
Dec 13, 2005
Last updated
Mar 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 234923 NY Primary
Pediatric Dermatology Physician 207NP0225X 234923 NY
Procedural Dermatology Physician 207NS0135X 234923 NY
Dermatopathology (Pathology) Physician 207ZD0900X 234923 NY

Addresses

Primary practice location

10 Union SQ E
Suite 3C
New York, NY 10003-3314

Mailing address

PO Box 95000-2233
Philadelphia, PA 19195-2233
Phone (212) 844-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050416000060 NY Practitioner - Dermatology 4082651427 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Temple University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1 Brookdale PLZ
Brooklyn, NY 11212-3198

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234923NYMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interfaith Professional Physician Services, P.C. Dermatology CurrentSince Mar 9, 2024 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Feb 1, 2013 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Feb 1, 2013 Accepting new patients
Mandel-Wilentz Dermatology PLLC Dermatology CurrentSince Aug 1, 2014 Accepting new patients
Peter a Klein, MD, Faad, PC Dermatology CurrentSince Apr 1, 2015 Accepting new patients
Bimc Faculty Practice Dermatology Past Accepting new patients
Murray Hill Dermatology Associates P C Dermatology PastSince Mar 1, 2007 Accepting new patients
Ariel Ostad MDPC Past Accepting new patients
Beth Israel Medical Center Dermatology Past Accepting new patients
St Lukes Roosevelt Community Care Dermatology Past Accepting new patients
St Lukes-Roosevelt Hospital Center Dermatology Past Accepting new patients
Dermatologic Surgery of Lexington Ave PC Past Accepting new patients

Locations

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

100 Hospital Rd
Ste 116
East Patchogue, NY 11772
Phone (631) 928-7922

500 N Broadway
Ste 166
Jericho, NY 11753
Phone (516) 506-7546

6 Medical Dr
Ste D
Port Jefferson Station, NY 11776
Phone (631) 928-7922

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIJBDD

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1255316121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2233",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952233",
            "telephone_number": "212-844-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E",
            "address_2": "SUITE 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-844-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILENTZ",
        "first_name": "SETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "234923",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NY",
            "license": "234923",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "234923",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NY",
            "license": "234923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.