Judy R Anderson, MD
Individual provider Active NPI Dermatology Physician · Yonkers, NY
NPI 1568427441 · NPPES record last updated Nov 29, 2016
Key facts
- NPI
- 1568427441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 202419 (NY)
- Practice address
- 984 N Broadway
#310
Yonkers, NY 10701-1318 - Phone
- (914) 963-0010
- Fax
- (914) 963-8406
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- State University of New York Downstate Medical Center, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
984 N Broadway
Suite 310
Yonkers, NY 10701-1308
Phone (914) 963-0010
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 690 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 260 |
| Skin biopsy | 85 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070207000385 | NY | Practitioner - Dermatology | 0244232023 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judy R. Anderson,M.D.,P.C. | Dermatology | Current |
Accepting new patients |
Locations
26 Firemens Memorial Dr
Ste 115
Pomona, NY 10970
Phone (212) 229-9590
984 N Broadway
Ste 310
Yonkers, NY 10701
Phone (914) 963-0010
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 202419 | NY | Yes |
Addresses
Primary practice location
984 N Broadway
#310
Yonkers, NY 10701-1318
Mailing address
26 Firemens Memorial Dr
Ste 115
Pomona, NY 10970-3569
Phone (914) 963-0010
Other providers in Yonkers, NY
- An Ounce of Prevention LLC
- Ana'S Pharmacy LTD
- Laura Anastasia
- Collette Anderson
- Diane Anderson
- Marline Anderson
- Naomi Anderson
- Susan M. Anderson
- Tamara Anderson
- Virginia M. Anderson
All providers in Yonkers, NY · Dermatology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.