Active NPI
Michelle Anne Lowes, MD PHD
- Dermatology Physician
- Bronx, NY
National Provider Identifier
1629343587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 228412
- Practice address
- 1250 Waters PL
Bronx, NY 10461-2720 - Phone
- (866) 633-8255
- Fax
- (929) 263-3946
- NPI assigned
- Mar 12, 2012
- Reactivated
- Oct 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 228412 | NY | Primary |
Addresses
Primary practice location
1250 Waters PL
Bronx, NY 10461-2720
Mailing address
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-2680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228412 | NY | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540944000000",
"number": "1629343587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-920-2680",
"fax_number": "718-944-4219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 WATERS PL",
"city": "BRONX",
"state": "NY",
"postal_code": "104612720",
"telephone_number": "866-633-8255",
"fax_number": "929-263-3946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWES",
"first_name": "MICHELLE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-12",
"last_updated": "2018-10-31",
"deactivation_date": "2018-09-24",
"reactivation_date": "2018-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "228412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.