Harold Mermelstein, M.D., P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

136631 Issued in NY

Legal business name

HAROLD MERMELSTEIN, M.D., P.C.

Practice address

1075 Central Park Ave
Suite 304
Scarsdale, NY 10583-3242

Phone

(914) 667-2242

Fax

(914) 667-8521

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Harold MermelsteinNPI 1053308429

Title

Business Owner

Phone

(914) 667-2242

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HAROLD MERMELSTEIN, M.D., P.C Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harold Mermelstein, M.D.

  • Dermatology Physician
  • Scarsdale, NY
  • NPI 1053308429

  Dermatology, NY

  Medicare reassignment NPD Authorized official
• Melissa Gill, M.D.

  • Dermatopathology (Pathology) Physician
  • Dobbs Ferry, NY
  • NPI 1467602581
  NPD (past)
• Pradip Bhattacharjee, M.D.

  • Dermatopathology (Pathology) Physician
  • Holmdel, NJ
  • NPI 1124351747
  NPD (past)
• Erin A O'Leary, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fall River, MA
  • NPI 1255467833
  NPD (past)

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1275720369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE",
            "address_2": "SUITE 304",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833242",
            "telephone_number": "914-667-2242",
            "fax_number": "914-667-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE",
            "address_2": "SUITE 304",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833242",
            "telephone_number": "914-667-2242",
            "fax_number": "914-667-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD MERMELSTEIN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "MERMELSTEIN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "914-667-2242",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "136631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00436219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAROLD MERMELSTEIN, M.D., P.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• John P Handrakis, P.T., D.P.T., ED.D.
• Jeannine Hanniff, MASTERS
• Miki Hara, LCSW
• Adina Kayla Hardoon, LCSW
• April Harris
• Jill Kalish Harris, MSW
• Marion G. Hart, M.D.
• Nicole Gina Harty
• Elizabeth Harwood, LCSW

• All providers in Scarsdale, NY
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.