Individual provider Active NPI

Janice M. Dworkin, M.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1528289147
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
161581 Issued in NY
Practice address
16 East 79 Street
New York, NY 10021-0150
Phone
(212) 249-6122
Fax
(212) 249-7838
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 161581 NY Primary

Addresses

Primary practice location

16 East 79 Street
New York, NY 10021-0150

Mailing address

21 Mohawk Lane
Manalapan, NJ 07726-4614
Phone (732) 446-5299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20090122000597 NJ Practitioner - Dermatology 1850455668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Dermatology ClinicGroup PAC ID 4981830601, 5 clinicians

Practice addresses (Care Compare)

79 Schanck Rd
Building D Pinho Professional Center
Freehold, NJ 07728-2964
Phone (732) 222-2250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.46 of 100Reported as individual
Quality
86.92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions252
Skin biopsy89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161581NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Dermatology Clinic CurrentSince Nov 22, 2016 Accepting new patients
All-County Dermatology LLC Dermatology Past Accepting new patients
Shonta D Collins Consulting Group LLC PastSince Feb 23, 2020 Accepting new patients

Locations

107 Monmouth Rd
Ste 203
West Long Branch, NJ 07764
Phone (732) 222-2250

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528289147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MOHAWK LANE",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077264614",
            "telephone_number": "732-446-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 EAST 79 STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210150",
            "telephone_number": "212-249-6122",
            "fax_number": "212-249-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORKIN",
        "first_name": "JANICE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "161581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.