Organization Active NPI

Altman Dermatology, PC

  • Dermatology Physician
  • Williamsville, NY
National Provider Identifier
1699704528
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
208731 Issued in NY
Legal business name
ALTMAN DERMATOLOGY, PC
Practice address
8421 Sheridan Dr
Williamsville, NY 14221-4133
Phone
(716) 810-0610
Fax
(716) 810-0630
NPI assigned
Jul 2, 2006
Last updated
Jul 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
David J. Altman, M.D.NPI 1598764433
Title
Owner
Phone
(716) 810-0610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 208731 NY Primary

Addresses

Primary practice location

8421 Sheridan Dr
Williamsville, NY 14221-4133

Mailing address

8421 Sheridan Dr
Williamsville, NY 14221-4133
Phone (716) 810-0610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331000592 NY Part B Supplier - Clinic/Group Practice 2264424241 Receives reassigned benefits from 4 practitioners
Practice locations: Williamsville, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1000970Altman Dermatology, PC8421 Sheridan Drive, Williamsville, NY 14221Provider-performed microscopyNov 3, 2026

National Provider Directory

National Provider Directory

Locations

8421 Sheridan Dr
Williamsville, NY 14221
Phone (716) 810-0610

Practitioners & affiliated clinicians

Practitioners 4

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1699704528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 SHERIDAN DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214133",
            "telephone_number": "716-810-0610",
            "fax_number": "716-810-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 SHERIDAN DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214133",
            "telephone_number": "716-810-0610",
            "fax_number": "716-810-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTMAN DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-810-0610",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "208731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.