Active NPI
Michael J. Albom MD P C
- MOHS-Micrographic Surgery Physician
- New York, NY
National Provider Identifier
1295045029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- MICHAEL J. ALBOM MD P C
- Practice address
- 33 E 70TH St
1F
New York, NY 10021-4985 - Phone
- (212) 517-2121
- Fax
- (212) 517-5601
- NPI assigned
- Oct 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael J. Albom, M.D.
- Title
- Physician
- Phone
- (212) 517-2121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | Primary |
Addresses
Primary practice location
33 E 70TH St
1F
New York, NY 10021-4985
Mailing address
33 E. 70TH St
1F
New York, NY 10021-4985
Phone (212) 517-2121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0129428 | Michael J Albom MD PC | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- New York, NY
- NPI 1336291657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304380800000",
"number": "1295045029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 E. 70TH ST",
"address_2": "1F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214985",
"telephone_number": "212-517-2121",
"fax_number": "212-517-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 E 70TH ST",
"address_2": "1F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214985",
"telephone_number": "212-517-2121",
"fax_number": "212-517-5601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL J. ALBOM MD P C",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-14",
"last_updated": "2011-05-03",
"status": "A",
"authorized_official_last_name": "ALBOM",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "212-517-2121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.