Individual provider Active NPI

Michele Jenna Farber, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1497016596
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
283935 Issued in NY
Practice address
35 E 35TH St RM 208
New York, NY 10016-3823
Phone
(212) 684-5964
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT202086 PA
Student in an Organized Health Care Education/Training Program 390200000X MT202086 PA
Dermatology Physician 207N00000X 283935 NY Primary

Addresses

Primary practice location

35 E 35TH St RM 208
New York, NY 10016-3823

Mailing address

35 E 35TH St RM 208
New York, NY 10016-3823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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
I20160729000622 NY Practitioner - Dermatology 0042503989 Reassigns benefits to 1 organization
I20201007000083 PA Practitioner - Dermatology 0042503989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Centre for Dermatology, LLCGroup PAC ID 4183603335, 40 clinicians

Practice addresses (Care Compare)

822 Pine St
Philadelphia, PA 19107-6187
Phone (267) 519-0154

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions822
Removal or shaving of skin growth1-10
Skin biopsy297

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283935NYMDDermatology Physician
MT202086PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Centre for Dermatology, LLC Dermatology CurrentSince Sep 17, 2020 Accepting new patients

Locations

2701 Queens Plz N
Fl 10
Long Island City, NY 11101
Phone (203) 996-6379

50 Monument Rd
Ste 301
Bala Cynwyd, PA 19004
Phone (610) 668-2570

1900 Market St
Ste 115
Philadelphia, PA 19103
Phone (215) 666-7340

822 Pine St
Ste 2A
Philadelphia, PA 19107
Phone (267) 519-0154

1900 Market St
Fl 1
Philadelphia, PA 19103

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: michele.farber@schweigerderm.emadirect.md

Organizations & group practices 2

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1497016596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E 35TH ST RM 208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 35TH ST RM 208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163823",
            "telephone_number": "212-684-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARBER",
        "first_name": "MICHELE",
        "middle_name": "JENNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT202086",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT202086",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "283935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.