Active NPI
Vanguard Dermatology
- Specialist
- Brooklyn, NY
National Provider Identifier
1659556777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- VANGUARD DERMATOLOGY
- Practice address
- 2119 E 15TH St
Brooklyn, NY 11229-4314 - Phone
- (718) 332-2999
- Fax
- (718) 332-3454
- NPI assigned
- Jan 8, 2008
- Last updated
- Jan 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Shapiro
- Title
- President
- Phone
- (718) 609-0310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
2119 E 15TH St
Brooklyn, NY 11229-4314
Mailing address
698 Manhattan Ave
3 Floor
Brooklyn, NY 11222-3160
Phone (718) 609-0310
National Provider Directory
National Provider Directory- Tax ID family
- Vanguard Dermatology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Forest Hills, NY
- NPI 1336337955
Locations
698 Manhattan Ave
Ste 3
Brooklyn, NY 11222
Phone (718) 383-0301
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dermatology Physician
- Brooklyn, NY
- NPI 1306845599
-
- Dermatology Physician
- Portsmouth, OH
- NPI 1023178092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199750400000",
"number": "1659556777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "698 MANHATTAN AVE",
"address_2": "3 FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112223160",
"telephone_number": "718-609-0310",
"fax_number": "718-332-3454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 E 15TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294314",
"telephone_number": "718-332-2999",
"fax_number": "718-332-3454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANGUARD DERMATOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-08",
"last_updated": "2008-01-08",
"status": "A",
"authorized_official_last_name": "SHAPIRO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-609-0310",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.