Individual provider Active NPI

Omar Torres Lozada, M.D.

  • MOHS-Micrographic Surgery Physician
  • New York, NY
National Provider Identifier
1477578607
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
13888 Issued in PR
Practice address
117 E 18TH St FRNT 1
New York, NY 10003-2113
Phone
(129) 775-6712
Fax
(212) 677-5802
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 13888 PR
Dermatology Physician 207N00000X 225487 NY
Specialist 174400000X 225487 NY
MOHS-Micrographic Surgery Physician 207ND0101X 13888 PR Primary
MOHS-Micrographic Surgery Physician 207ND0101X 225487 NY

Addresses

Primary practice location

117 E 18TH St FRNT 1
New York, NY 10003-2113

Mailing address

117 E 18TH St FRNT 1
New York, NY 10003-2113
Phone (212) 673-5633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041014001027 NY Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 7719955319 Reassigns benefits to 1 organization
I20190916003049 PR Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 7719955319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cosmetic Surgery and Dermatology PLLCGroup PAC ID 6103980271, 2 clinicians

Practice addresses (Care Compare)

117 E 18TH St
New York, NY 10003-2113
Phone (212) 673-5633

117 E 18TH Street
Suite 1
New York, NY 10003-2113

3744 90TH St
FL 1
Jackson Heights, NY 11372-7830
Phone (718) 255-1542

525 Ave FD Roosevelt
Ofc 801
San Juan, PR 00918-8057
Phone (787) 281-0784

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision174
Removal of skin lesions1303
Removal of skin cancer73
Removal of nail tissue1-10
Removal or shaving of skin growth32
Skin biopsy380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13888PRMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cosmetic Surgery and Derm, PLLC Current Accepting new patients
Dermgroup LLC Mohs-Micrographic Surgery CurrentSince Aug 1, 2019 Accepting new patients
Aesthetic Surgery and Dermatology, PC Specialist PastSince Aug 20, 2003 Accepting new patients

Locations

117 E 18th St
Frnt 1
New York, NY 10003
Phone (212) 673-5633

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEHGAA/Endpoint/FEHGAA

Organizations & group practices 4

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1477578607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E 18TH ST FRNT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032113",
            "telephone_number": "212-673-5633",
            "fax_number": "212-677-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E 18TH ST FRNT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032113",
            "telephone_number": "129-775-6712",
            "fax_number": "212-677-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES LOZADA",
        "first_name": "OMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "13888",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "225487",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "225487",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PR",
            "license": "13888",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "225487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.