Active NPI
Francis W. Iacobellis, MD
- Dermatology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 114091-1
- Practice address
- 125 E 63Rd St Unit 1BC
New York, NY 10065-7302 - Phone
- (212) 661-3376
- Fax
- (212) 661-3366
- NPI assigned
- Dec 19, 2005
- Last updated
- Apr 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 114091-1 | NY | Primary |
| Dermatology Physician | 207N00000X | ME132341 | FL |
Addresses
Primary practice location
125 E 63Rd St Unit 1BC
New York, NY 10065-7302
Mailing address
151 Southhall LN Ste 300
Maitland, FL 32751-7172
Phone (407) 875-2080
Other practice location 1
153 E 88th St
New York, NY 10128-2270
Phone (212) 289-8600
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114019 | Other | NY | CONNECTICARE |
| 133884168 | Other | NY | HORIZON HEALTHCARE OF NY |
| 173187P | Other | NY | HIP |
| 070011868 | Other | NY | RAILROAD MEDICARE |
| 133884168 | Other | NY | UNITED HEALTH CARE |
| 133884168 | Other | NY | POMCO |
| 13U231 | Other | NY | BLUE CROSS HMO |
| 0250055 | Medicaid | NY | |
| 696790 | Other | NY | PHCS |
| 133884168 | Other | NY | MULTIPLAN |
| 317283 | Other | NY | BLUE CROSS PPO |
| 3C1366 | Other | NY | HEALTHNET |
| 133884168 | Other | NY | EMPIRE STATE PLAN (NYS) |
| 2132222 | Other | NY | AETNA HMO |
| 4220508 | Other | NY | AETNA NON HMO |
| 000000045835 | Other | NY | GHI HMO |
| 133884168 | Other | NY | BEECH STREET |
| P942741 | Other | NY | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Missouri, Columbia School of Medicine, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 N Orange Ave
Suite 520
Orlando, FL 32801-5202
Phone (407) 992-0660
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 392 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 154 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114091-1 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Water's Edge Dermatology, LLC | Dermatology | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| J Matthew Knight M D P a | Current | Accepting new patients | |
| Manhattan Dermatology and Cosmetics PLLC | Dermatology | Current | Accepting new patients |
| Water's Edge Dermatology, LLC | Current | Accepting new patients | |
| David E. Bank, M.D., P.C. | Dermatology | Current | Accepting new patients |
| Leavitt Medical Associates of Florida Inc | Dermatology | Past | Accepting new patients |
| Pariser Dermatology Specialists LTD | Dermatology | Past | Accepting new patients |
| Leavitt Medical Associates of Florida Inc | Dermatology | Past | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Past | Accepting new patients |
Locations
5101 Okeechobee Rd
Fort Pierce, FL 34947
Phone (772) 595-5995
1035 Primera Blvd
Ste 1041
Lake Mary, FL 32746
Phone (407) 992-0660
6250 Lantana Rd
Ste 9
Lake Worth, FL 33463
Phone (561) 578-8100
3200 N Wickham Rd
Ste 5
Melbourne, FL 32935
Phone (407) 992-0660
301 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-0039
801 N Orange Ave
Ste 520
Orlando, FL 32801
Phone (407) 992-0660
2845 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (561) 693-0540
600 Village Square Xing
Palm Beach Gardens, FL 33410
Phone (561) 693-0540
2202 State Ave
Ste 102
Panama City, FL 32405
Phone (850) 250-5790
540 Fontaine St
Pensacola, FL 32503
Phone (800) 243-7546
264 NW Peacock Blvd
Ste 201
St Lucie West, FL 34986
Phone (772) 323-2321
1901 Lee Rd
Winter Park, FL 32789
Phone (407) 647-7300
359 E Main St
#4
Mount Kisco, NY 10549
Phone (314) 241-3003
820 2nd Ave
Rm 3A
New York, NY 10017
Phone (212) 661-3376
Interoperability endpoints
- francis.iacobellis@forefrontdermatology.emadirect.md
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advanced Dermatology & Skin Care Centre
- Dermatology Physician
- Miramar Beach, FL
- NPI 1154815546
-
- Dermatology Physician
- Mount Kisco, NY
- NPI 1962695072
-
- Dermatology Physician
- New York, NY
- NPI 1639495732
-
- Procedural Dermatology Physician
- Orlando, FL
- NPI 1386830263
-
- Dermatology Physician
- Palm Beach Gardens, FL
- NPI 1134148992
-
- Dermatology Physician
- Columbus, OH
- NPI 1063365385
-
dba Henghold Dermatology, A Forefront Dermatology Practice
- Dermatology Physician
- Pensacola, FL
- NPI 1083259642
-
- Clinical Medical Laboratory
- Palm Beach Gardens, FL
- NPI 1871542787
-
- Dermatology Physician
- Manitowoc, WI
- NPI 1578515904
-
dba Advanced Dermatology and Cosmetic Surgery
- Dermatology Physician
- Orlando, FL
- NPI 1104084672
-
dba Advanced Dermatology and Cosmetic Surgery
- Dermatology Physician
- Orlando, FL
- NPI 1427216985
-
- Dermatology Physician
- Norfolk, VA
- NPI 1417047952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1386620631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 SOUTHHALL LN STE 300",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517172",
"telephone_number": "407-875-2080",
"fax_number": "076-503-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E 63RD ST UNIT 1BC",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657302",
"telephone_number": "212-661-3376",
"fax_number": "212-661-3366"
}
],
"practiceLocations": [
{
"address_1": "153 E 88th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "101282270",
"country_code": "US",
"telephone_number": "212-289-8600",
"fax_number": "212-289-8813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IACOBELLIS",
"first_name": "FRANCIS",
"middle_name": "W.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "114091-1",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME132341",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "114019",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON HEALTHCARE OF NY",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "173187P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070011868",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "POMCO",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS HMO",
"identifier": "13U231",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0250055",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "696790",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PPO",
"identifier": "317283",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3C1366",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE STATE PLAN (NYS)",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2132222",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "4220508",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000045835",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P942741",
"state": "NY"
}
],
"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 Apr 27, 2021; 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.