Anetta Reszko MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

245396 Issued in NY

Legal business name

ANETTA RESZKO MD PC

Practice address

1112 Park Ave Ste 1a
New York, NY 10128-1235

Phone

(646) 759-8449

Fax

(718) 577-5769

NPI assigned

Aug 26, 2014

Last updated

Dec 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anetta E Reszko, MD

Title

President

Phone

(646) 759-8449

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1730589912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 PARK AVE STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281235",
            "telephone_number": "646-759-8449",
            "fax_number": "718-577-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 PARK AVE STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281235",
            "telephone_number": "646-759-8449",
            "fax_number": "718-577-5769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "182 E 95th St",
            "address_2": "Suite 10 G",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101282539",
            "country_code": "US",
            "telephone_number": "646-759-8449",
            "fax_number": "718-577-5769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANETTA RESZKO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "RESZKO",
        "authorized_official_first_name": "ANETTA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-759-8449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "245396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.