Active NPI
Noah S, Heftler M.D., PLLC
- Dermatology Physician
- New York, NY
National Provider Identifier
1427308469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 184994
- Legal business name
- NOAH S, HEFTLER M.D., PLLC
- Practice address
- 150 E 58TH St
4TH Floor Annex
New York, NY 10155-0002 - Phone
- (212) 583-2966
- Fax
- (212) 477-2885
- NPI assigned
- Sep 18, 2012
- Last updated
- Nov 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Noah S. Heftler, M.D.
- Title
- Physician
- Phone
- (212) 583-2966
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- New York, NY
- NPI 1346376696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352246400000",
"number": "1427308469",
"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",
"fax_number": "212-477-2885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOAH S, HEFTLER M.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-18",
"last_updated": "2012-11-07",
"status": "A",
"authorized_official_last_name": "HEFTLER",
"authorized_official_first_name": "NOAH",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "212-583-2966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "NY",
"license": "184994",
"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 Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.