Individual provider Active NPI

Amanda K Doyle, M.D.

  • Dermatology Physician
  • Brooklyn, NY
National Provider Identifier
1497049548
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
280100 Issued in NY
Practice address
450 Clarkson Ave
Brooklyn, NY 11203
Phone
(718) 270-8867
NPI assigned
Jun 7, 2011
Last updated
May 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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 280100 NY Primary

Addresses

Primary practice location

450 Clarkson Ave
Brooklyn, NY 11203

Mailing address

160 E 88TH St Apt 3K
New York, NY 10128-2218
Phone (315) 323-8312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 27, 2026 through Feb 27, 2028

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

64 Jackson Ave
Ponte Vedra, FL 32082-2807

700 Park Ave
New York, NY 10021-0104

700 Park Ave
New York, NY 10021-7098

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions68
Skin biopsy69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Russak Dermatology PC CurrentSince Sep 1, 2017 Accepting new patients
RM Dermatology, PLLC Dermatology PastSince Mar 1, 2026 Accepting new patients

Locations

115 E 57th St
Ste 1220
New York, NY 10022
Phone (646) 873-7546

Interoperability endpoints

  • Direct secure messaging: adoyle@russak.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1497049548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 88TH ST APT 3K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282218",
            "telephone_number": "315-323-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11203",
            "telephone_number": "718-270-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "AMANDA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "280100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.