Individual provider Active NPI

Marcel Perl, MD

  • Dermatology Physician
  • Orangeburg, NY
National Provider Identifier
1619396173
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
290461 Issued in NY
Practice address
60 Dutch Hill Rd Ste 18
Orangeburg, NY 10962-1722
Phone
(845) 359-4770
Fax
(845) 359-0017
NPI assigned
Apr 14, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 290461 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X NY

Addresses

Primary practice location

60 Dutch Hill Rd Ste 18
Orangeburg, NY 10962-1722

Mailing address

60 Dutch Hill Rd Ste 18
Orangeburg, NY 10962-1722
Phone (458) 359-4770

Other practice location 1

1000 10th Ave Rm 3A-15
Department of Medicine
New York, NY 10019-1147
Phone (212) 523-7321

Other practice location 2

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 992-7669

Other practice location 3

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 992-7669

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agoldstein@directaddress.net Health Information Exchange (HIE)

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
I20180626000976 NY Practitioner - Dermatology 9032464458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Icahn School of Medicine at Mount Sinai, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronxcare Health SystemGroup PAC ID 3870404429, 335 clinicians
Dermatology Center of Rockland PCGroup PAC ID 0446140750, 7 clinicians

Practice addresses (Care Compare)

1276 Fulton Ave
Bronx, NY 10456-3402
Phone (718) 992-7669

60 Dutch Hill Rd
Suite 18
Orangeburg, NY 10962-1722
Phone (845) 359-4770

Hospital & facility affiliations

  • Bronxcare Hospital Center Hospital, Bronx, NY, CCN 330009

Merit-based Incentive Payment System (MIPS)

Final score
99.29 of 100Reported as group
Quality
98.58
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1089
Removal or shaving of skin growth1-10
Skin biopsy303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290461NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System CurrentSince Jun 20, 2018 Accepting new patients
Bronxcare Health System Single Specialty CurrentSince Jun 20, 2018 Accepting new patients
Dermatology Center of Rockland, P.C. Single Specialty CurrentSince Jul 15, 2018 Accepting new patients
Bronxcare Dr. Martin Luther King Jr. Health Center Past Accepting new patients
Bronxcare Health System Past Accepting new patients

Locations

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1265 Franklin Ave
Fl 3
Bronx, NY 10456
Phone (718) 503-7700

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

1276 Fulton Ave
Rm 228
Bronx, NY 10456

60 Dutch Hill Rd
Ste 18
Orangeburg, NY 10962
Phone (845) 359-4770

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: agoldstein@directaddress.net
  • Direct secure messaging: mperl@directaddress.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1619396173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 DUTCH HILL RD STE 18",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621722",
            "telephone_number": "458-359-4770",
            "fax_number": "845-359-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 DUTCH HILL RD STE 18",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621722",
            "telephone_number": "845-359-4770",
            "fax_number": "845-359-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 10th Ave Rm 3A-15",
            "address_2": "Department of Medicine",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191147",
            "country_code": "US",
            "telephone_number": "212-523-7321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1276 Fulton Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10456",
            "country_code": "US",
            "telephone_number": "718-992-7669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1276 Fulton Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10456",
            "country_code": "US",
            "telephone_number": "718-992-7669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERL",
        "first_name": "MARCEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "290461",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agoldstein@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "60 Dutch Hill Rd Ste 18",
            "city": "Orangeburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109621722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

Verify at the official NPI Registry.