Individual provider Active NPI

H. Eliot Y. Ghatan, MD

  • Procedural Dermatology Physician
  • Brooklyn, NY
National Provider Identifier
1730165614
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
167403 Issued in NY
Practice address
1226 Ocean Pkwy
Brooklyn, NY 11230-5102
Phone
(718) 253-2053
Fax
(718) 253-2051
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 25MA05849000 NJ
Procedural Dermatology Physician 207NS0135X 167403 NY Primary

Addresses

Primary practice location

1226 Ocean Pkwy
Brooklyn, NY 11230-5102

Mailing address

1226 Ocean Pkwy
Brooklyn, NY 11230-5102
Phone (718) 253-2053

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101202000050 NY Practitioner - Dermatology 5698961621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albert Einstein College of Medicine of Yeshiva University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1226 Ocean Pkwy
Brooklyn, NY 11230-5102
Phone (718) 253-2053

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision66
Removal of tissue11
Removal of skin lesions270
Removal of nail tissue1-10
Removal or shaving of skin growth18
Skin biopsy403

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05849000NJMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parcare Community Health Network Inc CurrentSince Feb 1, 2024 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Parcare Community Health Network Inc CurrentSince Feb 1, 2024 Accepting new patients
Dr Eliot Y Ghatan MD PC Procedural Dermatology CurrentSince Aug 6, 1986 Accepting new patients
Advanced Dermatology PC Past Accepting new patients
Boulevard Multispecialty Medical PC PastSince Jan 13, 1996 Accepting new patients

Locations

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

1226 Ocean Pkwy
Brooklyn, NY 11230
Phone (718) 253-2053

6010 Bay Pkwy
Ste 902
Brooklyn, NY 11204
Phone (718) 475-1700

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

Networks

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

Interoperability endpoints

  • Direct secure messaging: eliotghatan@mai.allscriptsdirect.net

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1730165614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305102",
            "telephone_number": "718-253-2053",
            "fax_number": "718-253-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305102",
            "telephone_number": "718-253-2053",
            "fax_number": "718-253-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHATAN",
        "first_name": "H. ELIOT Y.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "25MA05849000",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "167403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.