Individual provider Active NPI

Barry Michael Pomerantz, M.D.

  • Procedural Dermatology Physician
  • New York, NY
National Provider Identifier
1295725257
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
146474 Issued in NY
Practice address
345 W 58TH St
Basement Suite
New York, NY 10019-1145
Phone
(212) 247-7546
Fax
(212) 265-9010
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 146474 NY Primary

Addresses

Primary practice location

345 W 58TH St
Basement Suite
New York, NY 10019-1145

Mailing address

140 W End Ave
Apt 26B
New York, NY 10023-6131
Phone (212) 247-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060410000440 NY Practitioner - Dermatology 8628061488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

345 W 58TH St
Suite Basement
New York, NY 10019-1145
Phone (212) 247-7546

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions484
Skin biopsy555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146474NYMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barry Pomerantz MD PLLC CurrentSince Aug 1, 2015 Accepting new patients
St Lukes Roosevelt Community Care Past Accepting new patients
Glass and Pomerantz, MDS, PLLC Procedural Dermatology PastSince Dec 1, 1998 Accepting new patients

Locations

250 W 57th St
#831
New York, NY 10107
Phone (212) 247-7546

345 W 58th St
Bsmt
New York, NY 10019
Phone (212) 247-7546

Networks

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

Interoperability endpoints

  • Direct secure messaging: bmp9002@direct.nyp.org

Organizations & group practices 3

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1295725257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W END AVE",
            "address_2": "APT 26B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236131",
            "telephone_number": "212-247-7546",
            "fax_number": "212-265-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W 58TH ST",
            "address_2": "BASEMENT SUITE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191145",
            "telephone_number": "212-247-7546",
            "fax_number": "212-265-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERANTZ",
        "first_name": "BARRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "146474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.