Individual provider Active NPI

Andrew Brian Avarbock, M.D., PH.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1669649968
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
257508 Issued in NY
Practice address
156 William St
7TH Floor
New York, NY 10038-2609
Phone
(646) 962-3376
NPI assigned
May 15, 2008
Last updated
Oct 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 257508 NY Primary

Addresses

Primary practice location

156 William St
7TH Floor
New York, NY 10038-2609

Mailing address

575 Lexington Ave
New York, NY 10022-6102
Phone (646) 962-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120904000137 NY Practitioner - Dermatology 9537316153 Reassigns benefits to 1 organization
I20210909002021 FL Practitioner - Dermatology 9537316153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Derm Group LLPGroup PAC ID 9335478908, 32 clinicians

Practice addresses (Care Compare)

2601 SW 37TH Ave
Suite 804
Miami, FL 33133-2751
Phone (305) 306-9470

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1494
Removal or shaving of skin growth1-10
Skin biopsy86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Francisco Flores MD PA Dermatology Current Accepting new patients
Weill Medical College of Cornell Dermatology Current Accepting new patients
Weill Medical College of Cornell CurrentSince Aug 27, 2012 Accepting new patients
Weill Medical College of Cornell Dermatology CurrentSince Aug 27, 2012 Accepting new patients
The Derm Group LLP Dermatology CurrentSince Nov 1, 2021 Accepting new patients

Locations

11760 SW 40th St
Ste 451
Miami, FL 33175
Phone (305) 227-9233

2601 SW 37th Ave
Ste 607
Miami, FL 33133
Phone (305) 445-5056

2601 SW 37th Ave
Ste 804
Miami, FL 33133
Phone (305) 306-9470

14601 SW 29th St
Ste 206
Miramar, FL 33027
Phone (954) 885-5551

11924 Forest Hill Blvd
Ste 10A411
Wellington, FL 33414

156 William St
New York, NY 10038
Phone (646) 962-4679

156 William St
Fl 7
New York, NY 10038
Phone (646) 962-2620

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00135
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00136

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1669649968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102",
            "telephone_number": "646-962-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WILLIAM ST",
            "address_2": "7TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382609",
            "telephone_number": "646-962-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVARBOCK",
        "first_name": "ANDREW",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "257508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.