Organization Active NPI

Joel J Kassimir MD PLLC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1437824513
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
JOEL J KASSIMIR MD PLLC
Practice address
105 E 90TH St
New York, NY 10128-1504
Phone
(212) 876-3319
Fax
(212) 423-0840
NPI assigned
Aug 11, 2021
Organization subpart
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

Authorized official

Name
Dr. Joel Jack Kassimir, MDNPI 1346338480
Title
Owner/Physician
Phone
(212) 876-3319

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

105 E 90TH St
New York, NY 10128-1504

Mailing address

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1437824513",
    "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": "105 E 90TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281504",
            "telephone_number": "212-876-3319",
            "fax_number": "212-423-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL J KASSIMIR MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "KASSIMIR",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "212-876-3319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "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 Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.