Comprehensive Dermatology, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

187786 Issued in NY

Legal business name

COMPREHENSIVE DERMATOLOGY, P.C.

Practice address

1122 Broadway
Woodmere, NY 11598-1242

Phone

(516) 295-3838

Fax

(516) 295-4976

NPI assigned

Jan 30, 2007

Last updated

Oct 22, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abraham I Abittan, M.D.NPI 1962548404

Title

Owner

Phone

(516) 295-3838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abraham I Abittan, M.D.

  • Specialist
  • Woodmere, NY
  • NPI 1962548404
  Medicare reassignment NPD Authorized official
• Brian J. Abittan, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1902284482
  Medicare reassignment NPD
• Felix Kuo, MD

  • Dermatology Physician
  • Huntington, NY
  • NPI 1285625228
  Medicare reassignment NPD
• Radha Mikkilineni, M.D.

  • Dermatopathology Physician
  • Garden City, NY
  • NPI 1003842618
  Medicare reassignment NPD
• Mary Therese Parisi, M.D.

  • Dermatopathology (Pathology) Physician
  • Tampa, FL
  • NPI 1942416334

  NY

  Medicare reassignment NPD
• Robert L Bruckstein, M.D.

  • Dermatology Physician
  • Lawrence, NY
  • NPI 1386644375
  NPD

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1659417038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981242",
            "telephone_number": "516-295-3838",
            "fax_number": "516-295-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981242",
            "telephone_number": "516-295-3838",
            "fax_number": "516-295-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "ABITTAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-295-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "187786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.