Individual provider Active NPI

Panta Rouhani Schaffer, M.D., PH.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1265723084
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
273971 Issued in NY
Practice address
45 E 85TH St
New York, NY 10028-0957
Phone
(212) 396-2500
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 273971 NY Primary

Addresses

Primary practice location

45 E 85TH St
New York, NY 10028-0957

Mailing address

530 E 23Rd St Apt Me
New York, NY 10010-5046
Phone (305) 710-5334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 5, 2018 through Dec 5, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
273971NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew G. Franks, Jr. MD, PC Past Accepting new patients
Gramercy Park Dermatology Associates, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1265723084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E 23RD ST APT ME",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105046",
            "telephone_number": "305-710-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E 85TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280957",
            "telephone_number": "212-396-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUHANI SCHAFFER",
        "first_name": "PANTA",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "273971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.