Tzu Dermatology, P.C.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

256102 Issued in NY

Legal business name

TZU DERMATOLOGY, P.C.

Doing business as

Wall Street Dermatology

Practice address

65 Broadway Ste 904
New York, NY 10006-2523

Phone

(212) 931-0538

Fax

(212) 430-3797

NPI assigned

Apr 9, 2014

Last updated

Jul 23, 2019By 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. Julia Tzu, M.D.NPI 1558558031

Title

Medical Director

Phone

(212) 931-0538

Specialties & licenses 4

Addresses

Other names 1

• Wall Street Dermatology Doing business as

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

Locations

Practitioners 1

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.

• Julia E Tzu, MD

  • Procedural Dermatology Physician
  • New York, NY
  • NPI 1558558031
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1679992457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BROADWAY",
            "address_2": "904",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062523",
            "telephone_number": "212-931-0538",
            "fax_number": "212-430-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BROADWAY STE 904",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062523",
            "telephone_number": "212-931-0538",
            "fax_number": "212-430-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TZU DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "TZU",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-931-0538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "256102",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "256012",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NY",
            "license": "256102",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "256102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wall Street Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wall Street Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerasimos Tzanetatos
• Anastasia Eleni Tzanides, PA-C
• Tze on Poon, M.D. P.C.
• Michael Tzeng
• Michal Tziyon, LCSW
• Julia E Tzu, MD
• Ekaterina Ivanova Tzvetkova, M.D.
• U C 3Rd Avenue Corp (Tower Drugs)
• U Remind Me of LLC
• U Spectacle Retail, LLC (Ultimate Spectacle)

• Procedural Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.