Organization Active NPI

Emmanuel R. Loucas, M.D., P.C.

Doing business as Alpha Dermatology

  • Medical Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1740451962
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
199503 Issued in NY
Legal business name
EMMANUEL R. LOUCAS, M.D., P.C.
Doing business as
Alpha Dermatology
Practice address
69 E 76TH St
New York, NY 10021-1826
Phone
(212) 988-4357
Fax
(212) 988-4374
NPI assigned
Mar 14, 2008
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Emmanuel Robert Loucas, M.D.
Title
President
Phone
(212) 988-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 199503 NY Primary

Addresses

Primary practice location

69 E 76TH St
New York, NY 10021-1826

Mailing address

69 E 76TH St
New York, NY 10021-1826
Phone (212) 988-4357

Other names 1

  • Alpha Dermatology Doing business as

National Provider Directory

National Provider Directory

Locations

69 E 76th St
New York, NY 10021
Phone (212) 288-7231

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1740451962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 E 76TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211826",
            "telephone_number": "212-988-4357",
            "fax_number": "212-988-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 E 76TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211826",
            "telephone_number": "212-988-4357",
            "fax_number": "212-988-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL R. LOUCAS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "LOUCAS",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-988-4357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "199503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.