Individual provider Active NPI

Evan Darwin

  • Dermatology Physician
  • Brooklyn, NY
National Provider Identifier
1306406897
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
323049 Issued in NY
Practice address
32 Court St Ste 302
Brooklyn, NY 11201-4408
Phone
(718) 408-4906
NPI assigned
Jun 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 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 323049 NY Primary

Addresses

Primary practice location

32 Court St Ste 302
Brooklyn, NY 11201-4408

Mailing address

33 E 33Rd St FL 12
New York, NY 10016-5362
Phone (212) 283-3000

Other practice location 1

217 Havemeyer St Fl 5
Brooklyn, NY 11211-6288
Phone (212) 283-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240726003602 NC Practitioner - Dermatology 4880921782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina Dermatology Associates PLLCGroup PAC ID 8921162942, 4 clinicians

Practice addresses (Care Compare)

7920 Acc Blvd
Suite 100
Raleigh, NC 27617-8744
Phone 9195969600103

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions272
Removal or shaving of skin growth1-10
Skin biopsy167

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Dermatology Associates, PLLC Dermatology CurrentSince Aug 17, 2024 Accepting new patients

Locations

7920 Acc Blvd
Ste 100
Raleigh, NC 27617
Phone (919) 596-9600

Organizations & group practices 1

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": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1306406897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E 33RD ST FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165362",
            "telephone_number": "212-283-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 COURT ST STE 302",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014408",
            "telephone_number": "718-408-4906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Havemeyer St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112116288",
            "country_code": "US",
            "telephone_number": "212-283-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARWIN",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "323049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.