NPIMap

Organization Active NPI

Gilberto Alvarez del Manzano Dermatology PLLC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1639622269
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
265513 Issued in NY
Legal business name
GILBERTO ALVAREZ DEL MANZANO DERMATOLOGY PLLC
Practice address
291 Broadway RM 1803
New York, NY 10007-1889
Phone
(212) 233-2995
NPI assigned
Aug 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Authorized official

Name
Dr. Gilberto Alvarez del Manzano, MDNPI 1750304663
Title
MD/Owner
Phone
(212) 233-2995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 265513 NY Primary

Addresses

Primary practice location

291 Broadway RM 1803
New York, NY 10007-1889

Mailing address

291 Broadway RM 1803
New York, NY 10007-1889
Phone (212) 233-2995

Other names 1

  • DOWNTOWN DERMATOLOGY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160825000030 NY Part B Supplier - Clinic/Group Practice 3870888100 Receives reassigned benefits from 3 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

291 Broadway
Rm 1803
New York, NY 10007
Phone (212) 233-2995

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1639622269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 BROADWAY RM 1803",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071889",
            "telephone_number": "212-233-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 BROADWAY RM 1803",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071889",
            "telephone_number": "212-233-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERTO ALVAREZ DEL MANZANO DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ DEL MANZANO",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "212-233-2995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "265513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOWNTOWN DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.