Organization Active NPI

Vanguard Dermatology

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1659556777
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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)CodeLicenseStatePrimary
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 Dermatology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.