Individual provider Active NPI

Natalie Monet Moulton-Levy, M.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1467610683
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
9530 Issued in NY
Practice address
1425 Madison Ave
Department of Dermatology
New York, NY 10029-6514
Phone
(212) 659-9530
NPI assigned
May 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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 9530 NY Primary

Addresses

Primary practice location

1425 Madison Ave
Department of Dermatology
New York, NY 10029-6514

Mailing address

1425 Madison Ave
Department of Dermatology
New York, NY 10029-6514
Phone (212) 659-9530

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
I20150702001897 NY Practitioner - Dermatology 1153515754 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Flatiron Family Medical PCGroup PAC ID 6002179025, 4 clinicians

Practice addresses (Care Compare)

12 W 21St St
FL 6
New York, NY 10010-6914
Phone (212) 343-2222

64 Wooster St
FL 5E
New York, NY 10012-4388
Phone (212) 208-0004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions130
Removal of nail tissue1-10
Skin biopsy86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9530NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flatiron Family Medical PC CurrentSince Feb 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Dermatology CurrentSince Sep 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients

Locations

12 W 21st St
Fl 6
New York, NY 10010
Phone (212) 343-2222

245 5th Ave
Fl 2
New York, NY 10016
Phone (646) 935-2220

52 W 8th St
New York, NY 10011
Phone (212) 466-4848

245 5th Ave
New York, NY 10016
Phone (646) 935-2220

150 E 42nd St
New York, NY 10017
Phone (212) 661-8139

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150

Interoperability endpoints

  • Direct secure messaging: natalie.moulton-levy.1@17612.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17612/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1467610683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MADISON AVE",
            "address_2": "DEPARTMENT OF DERMATOLOGY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296514",
            "telephone_number": "212-659-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MADISON AVE",
            "address_2": "DEPARTMENT OF DERMATOLOGY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296514",
            "telephone_number": "212-659-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON-LEVY",
        "first_name": "NATALIE",
        "middle_name": "MONET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "9530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.