Manhattan Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MANHATTAN DERMATOLOGY PLLC

Practice address

36 E 36TH St Ste 202a
New York, NY 10016-3441

Phone

(212) 683-6073

NPI assigned

Apr 10, 2025

Organization subpart

No

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

Authorized official

Name

Wendy Long Mitchell, MD

Title

Owner

Phone

(734) 277-4766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7628/brand/4/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/DHCDAA

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Gregory Kihiczak MD PC, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1629276639
  Medicare reassignment Care Compare group NPD
• Michelle Levy, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1932273869
  Medicare reassignment Care Compare group NPD
• Wendy S Long, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1689606113
  Medicare reassignment Care Compare group NPD
• William Trigg Long, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1497708168
  Medicare reassignment Care Compare group NPD
• Eric Bowman, MD

  • Dermatology Physician
  • Ann Arbor, MI
  • NPI 1952030157
  Care Compare group
• Jordana Gilman, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1932152253
  NPD
• Vicki J Levine, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1932198983
  NPD
• Forrest Nelson White, M.D.

  • Dermatology Physician
  • Fishkill, NY
  • NPI 1265870299
  NPD
• Taylor M Defelice, M.D.

  • Dermatology Physician
  • Nashville, TN
  • NPI 1619111473
  NPD

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1548055742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E 36TH ST STE 202A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163441",
            "telephone_number": "212-683-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E 36TH ST STE 202A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163441",
            "telephone_number": "212-683-6073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Park Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100162507",
            "country_code": "US",
            "telephone_number": "212-683-6073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANHATTAN DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "LONG MITCHELL",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-277-4766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Manhattan Diagnostic Physicians PLLC
• Manhattan East Associates, Inc.
• Manhattan East Endoscopy, P.C.
• Manhattan Eastside Orthodontics
• Manhattan Ei, LLC

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.