Active NPI
H. Eliot Y. Ghatan, MD
- Procedural Dermatology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 167403
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 66 |
| Removal of tissue | 11 |
| Removal of skin lesions | 270 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 18 |
| Skin biopsy | 403 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05849000 | NJ | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Dr Eliot Y Ghatan MD PC | Procedural Dermatology | Current | Accepting new patients |
| Advanced Dermatology PC | Past | Accepting new patients | |
| Boulevard Multispecialty Medical PC | Past | 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
- 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.
-
- Procedural Dermatology Physician
- Brooklyn, NY
- NPI 1154635902
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1730454083
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1942795943
-
- Dermatology Physician
- New Hyde Park, NY
- NPI 1134201460
-
- Multi-Specialty Clinic/Center
- Ozone Park, NY
- NPI 1730245366
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.