Fran E Cook-Bolden, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

181672 Issued in NY

Practice address

150 E 58TH St
3Rd Floor Annex
New York, NY 10155-0002

Phone

(212) 223-6599

Fax

(212) 223-6598

NPI assigned

Aug 14, 2006

Last updated

Apr 7, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Dermatology

Education

Howard University College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Park South Medical PLLCGroup PAC ID 6608967898, 6 clinicians

Forest Hills Dermatology Group PLLCGroup PAC ID 6608037320, 14 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: frc9079@direct.nyp.org

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.

• Forest Hills Dermatology Group PLLC

  • Dermatology Physician
  • Kew Gardens, NY
  • NPI 1225309586
  Medicare reassignment Care Compare group NPD
• Park South Medical PLLC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1427252626
  Medicare reassignment Care Compare group NPD
• Skin Specialty Dermatology - Fran E. Cook-Bolden M.D., P.C.

  • Dermatology Physician
  • New York, NY
  • NPI 1225360399
  Authorized official Same address or phone
• RLD Medical Services, PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1609986934
  NPD
• Howard D. Solomon, DO, PC

  • Procedural Dermatology Physician
  • Forest Hills, NY
  • NPI 1598054520
  NPD (past)
• Paul Jarrod Frank MD PC

  • Specialist
  • New York, NY
  • NPI 1588842595
  NPD (past)
• St Lukes-Roosevelt Hospital Center

  dba Dermatology Associates of SLR

  • Dermatology Physician
  • New York, NY
  • NPI 1831154087
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1710990346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 58TH ST",
            "address_2": "3RD FLOOR ANNEX",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101550002",
            "telephone_number": "212-223-6599",
            "fax_number": "212-223-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 58TH ST",
            "address_2": "3RD FLOOR ANNEX",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101550002",
            "telephone_number": "212-223-6599",
            "fax_number": "212-223-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK-BOLDEN",
        "first_name": "FRAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "181672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Elizabeth Conway, LMSW
• Virginia Conway
• James Allen Conwell, DO
• Rachel Conybeare, N.P.
• Lorena N Conz, PMHNP
• Jessica Phylis Cook-Mack, M.D.
• Heather J Cook-Smith, DNP
• Vanessa Cook-Williams
• Aliza Michelle Cook, MD
• Cassandra Cook, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.