Individual provider Active NPI

Noah Solomon Heftler, M.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1346376696
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
184994 Issued in NY
Practice address
150 E 58TH St
4TH Floor Annex
New York, NY 10155-0002
Phone
(212) 583-2966
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 184994 NY Primary

Addresses

Primary practice location

150 E 58TH St
4TH Floor Annex
New York, NY 10155-0002

Mailing address

150 E 58TH St
4TH Floor Annex
New York, NY 10155-0002
Phone (212) 583-2966

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
I20040721001583 NY Practitioner - Dermatology 8527048420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 E 58TH St
4TH Floor Annex
New York, NY 10155-0008
Phone (212) 583-2966

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions269
Skin biopsy62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Noah S, Heftler M.D., PLLC Dermatology CurrentSince Aug 7, 2012 Accepting new patients
Bruce E. Katz, MD, PC Dermatology Past Accepting new patients
Bruce E. Katz, MD, PC Past Accepting new patients

Locations

150 E 58th St
Frnt 4
New York, NY 10155
Phone (212) 472-8039

Interoperability endpoints

  • Direct secure messaging: nsh2001@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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346376696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 58TH ST",
            "address_2": "4TH FLOOR ANNEX",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101550002",
            "telephone_number": "212-583-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 58TH ST",
            "address_2": "4TH FLOOR ANNEX",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101550002",
            "telephone_number": "212-583-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFTLER",
        "first_name": "NOAH",
        "middle_name": "SOLOMON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "184994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.