Organization Active NPI

Dermatology, Laser and Surgery of Flatiron PLLC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1699287839
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY, LASER AND SURGERY OF FLATIRON PLLC
Practice address
928 Broadway Ste 204
New York, NY 10010-8162
Phone
(212) 982-8229
Fax
(646) 792-3301
NPI assigned
Oct 27, 2017
Last updated
Oct 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Authorized official

Name
Angela Lasorsa
Title
Manager
Phone
(212) 982-8229

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary
Plastic and Reconstructive Surgery Physician 2086S0122X NU

Addresses

Primary practice location

928 Broadway Ste 204
New York, NY 10010-8162

Mailing address

928 Broadway Ste 204
New York, NY 10010-8162
Phone (212) 982-8229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180319001342 NY Part B Supplier - Clinic/Group Practice 3274895834 Receives reassigned benefits from 6 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1699287839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108162",
            "telephone_number": "212-982-8229",
            "fax_number": "646-792-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108162",
            "telephone_number": "212-982-8229",
            "fax_number": "646-792-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY, LASER AND SURGERY OF FLATIRON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "LASORSA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-982-8229"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.