Waldorf Dermatology & Laser Associates, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WALDORF DERMATOLOGY & LASER ASSOCIATES, P.C.

Practice address

57 North Middletown Road
Nanuet, NY 10954

Phone

(845) 623-7077

Fax

(845) 623-2108

NPI assigned

Jan 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heidi Waldorf, M.D.

Title

President

Phone

(845) 623-7077

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carole Hazan, MD

  • MOHS-Micrographic Surgery Physician
  • New Hyde Park, NY
  • NPI 1871713156
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1447304183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 NORTH MIDDLETOWN ROAD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "845-623-7077",
            "fax_number": "845-623-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 NORTH MIDDLETOWN ROAD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "845-623-7077",
            "fax_number": "845-623-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDORF DERMATOLOGY & LASER ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "WALDORF",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-623-7077",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandrina Visco-Pelliccio, SPED
• Pascale S Vital
• Voces Speech Services PLLC
• Chantal Voltaire, LPN
• Roberta Voss
• Donald Scott Waldorf, M.D.
• Maria M. Walker, OPHTHALMIC DISPENSER
• Tiffany Walker
• Mary Walsh
• Faigy Weber

• Dermatology Physician in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.