Active NPI
Joyce Cheryl Davis, MD
- Dermatology Physician
- New York, NY
National Provider Identifier
1316977572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 142485
- Practice address
- 69 5TH Avenue
Suite 1a
New York, NY 10003 - Phone
- (212) 242-3066
- Fax
- (212) 242-3081
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 142485 | NY | Primary |
Addresses
Primary practice location
69 5TH Avenue
Suite 1a
New York, NY 10003
Mailing address
69 5TH Avenue
Suite 1a
New York, NY 10003
Phone (212) 242-3066
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120103000459 | NY | Practitioner - Dermatology | 8325214901 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
69 5TH Ave
Ofc 1a
New York, NY 10003-3006
Phone (212) 242-3066
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 51 |
| Skin biopsy | 131 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142485 | NY | MD | Dermatology Physician |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495584000000",
"number": "1316977572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 5TH AVENUE",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-242-3066",
"fax_number": "212-242-3081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 5TH AVENUE",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-242-3066",
"fax_number": "212-242-3081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JOYCE",
"middle_name": "CHERYL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2017-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "142485",
"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 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.