Individual provider Active NPI

Alexis Weymann Perlmutter, M.D.

  • Pediatric Dermatology Physician
  • Delmar, NY
National Provider Identifier
1548490865
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Dermatology PhysicianTaxonomy code 207NP0225X
License
283370 Issued in NY
Practice address
250 Delaware Ave Ste 207
Delmar, NY 12054-1402
Phone
(518) 655-1990
Fax
(518) 449-7210
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 283370 NY
Pediatrics Physician 208000000X MD445591 PA
Pediatric Dermatology Physician 207NP0225X 283370 NY Primary

Addresses

Primary practice location

250 Delaware Ave Ste 207
Delmar, NY 12054-1402

Mailing address

250 Delaware Ave Ste 207
Delmar, NY 12054-1402
Phone (518) 655-1990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20161019000630 NY Practitioner - Dermatology 4981869799 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Perlmutter MD PCGroup PAC ID 3274790837, 7 clinicians

Practice addresses (Care Compare)

250 Delaware Ave
Suite 207
Delmar, NY 12054-1402
Phone (518) 655-1990

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions550
Removal or shaving of skin growth54
Skin biopsy155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283370NYMDDermatology Physician
MD445591PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Perlmutter MDPC Dermatology CurrentSince Apr 1, 2024 Accepting new patients
Capital District Dermatology Associates PC Dermatology CurrentSince Mar 1, 2021 Accepting new patients

Locations

35 Hackett Blvd
#2
Albany, NY 12208
Phone (518) 262-7193

250 Delaware Ave
Ste 207
Delmar, NY 12054
Phone (518) 655-1990

450 Route 9W
Glenmont, NY 12077
Phone (518) 434-8121

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1548490865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 DELAWARE AVE STE 207",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541402",
            "telephone_number": "518-655-1990",
            "fax_number": "518-449-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 DELAWARE AVE STE 207",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541402",
            "telephone_number": "518-655-1990",
            "fax_number": "518-449-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLMUTTER",
        "first_name": "ALEXIS",
        "middle_name": "WEYMANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "283370",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD445591",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NY",
            "license": "283370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

Verify at the official NPI Registry.