Organization Active NPI

Michael J. Albom MD P C

  • MOHS-Micrographic Surgery Physician
  • New York, NY
National Provider Identifier
1295045029
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
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

Updated by the provider on May 3, 2011

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.NPI 1336291657
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)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20110503000165 NY Part B Supplier - Clinic/Group Practice 0648455865 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0129428Michael J Albom MD PC33 East 70TH Street, New York, NY 10021ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.