Individual provider Active NPI

Camille Howard-Verovic

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1750785960
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
288897-1 Issued in NY
Practice address
245 5TH Ave Ste 319
New York, NY 10016-8728
Phone
(917) 540-8807
Fax
(917) 893-7723
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 288897-1 NY Primary

Addresses

Primary practice location

245 5TH Ave Ste 319
New York, NY 10016-8728

Mailing address

327 Beach 19TH St
Far Rockaway, NY 11691-4423

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
I20210719002527 NY Practitioner - DermatologyPractitioner - Family Practice 2163825886 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

245 5TH Ave
Suite 319
New York, NY 10016-8728
Phone (917) 540-8807

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288897-1NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Active Dermatology PLLC Dermatology CurrentSince Apr 1, 2022 Accepting new patients
Family Medicine Nyc P.C. Past Accepting new patients
Anzara Health PastSince May 18, 2022 Accepting new patients

Locations

150 Broadway
Rm 1702
New York, NY 10038
Phone (917) 409-7575

245 5th Ave
Ste 319
New York, NY 10016
Phone (646) 759-9388

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00005

Organizations & group practices 3

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1750785960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 BEACH 19TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 5TH AVE STE 319",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168728",
            "telephone_number": "917-540-8807",
            "fax_number": "917-893-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD-VEROVIC",
        "first_name": "CAMILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "288897-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.