Individual provider Active NPI

Joel J Kassimir, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1346338480
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1528481 Issued in NY
Practice address
10 E 88TH Street
New York, NY 10128
Phone
(212) 876-3319
Fax
(212) 423-0840
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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 1528481 NY Primary

Addresses

Primary practice location

10 E 88TH Street
New York, NY 10128

Mailing address

105 E 90TH St
New York, NY 10128-1504
Phone (212) 876-3319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 12, 2013 through Apr 12, 2027

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Massachusetts Medical School, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 E 88TH St
New York, NY 10128-0509

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1528481NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joel J Kassimir MD PLLC Dermatology CurrentSince Oct 5, 2021 Accepting new patients
Joel J Kassimir MD PLLC Dermatology CurrentSince Aug 28, 2021 Accepting new patients

Locations

105 E 90th St
New York, NY 10128
Phone (212) 876-3319

Organizations & group practices 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1346338480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E 90TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281504",
            "telephone_number": "212-876-3319",
            "fax_number": "212-423-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 88TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-876-3319",
            "fax_number": "212-423-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSIMIR",
        "first_name": "JOEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "1528481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.