Active NPI
Michael Paltiel, MD
- Dermatology Physician
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 245541
- Practice address
- 6405 Yellowstone Blvd
Cfu 101
Forest Hills, NY 11375-1530 - Phone
- (718) 896-3376
- Fax
- (718) 795-1005
- NPI assigned
- Feb 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 245541 | NY | Primary |
Addresses
Primary practice location
6405 Yellowstone Blvd
Cfu 101
Forest Hills, NY 11375-1530
Mailing address
6405 Yellowstone Blvd
Cfu 101
Forest Hills, NY 11375-1530
Phone (718) 896-3376
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
- Johns Hopkins University School of Medicine, 2004
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
64 05 Yellowstone Blvd
Cfu 101
Forest Hills, NY 11375-1530
6405 Yellowstone Blvd
Forest Hills, NY 11375-1530
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 2312 |
| Removal of nail tissue | 14 |
| Removal or shaving of skin growth | 98 |
| Skin biopsy | 242 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245541 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Quest Physical Therapy, P.C. | Current | Accepting new patients | |
| Richard S. Berry MDPC | Dermatology | Current | Accepting new patients |
| City Central Dermatology PLLC | Past | Accepting new patients |
Locations
1620 Voorhies Ave
#A
Brooklyn, NY 11235
Phone (718) 996-3000
8441 149th Ave
Jamaica, NY 11414
Phone (718) 845-1919
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- mpaltiel@1401.mdlanddirect.com
Organizations & group practices 4
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.
-
- Medical Specialty Clinic/Center
- Great Neck, NY
- NPI 1013175165
-
- Specialist
- Forest Hills, NY
- NPI 1851571160
-
- Specialist
- Elmhurst, NY
- NPI 1780977579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1760525935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 YELLOWSTONE BLVD",
"address_2": "CFU 101",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751530",
"telephone_number": "718-896-3376",
"fax_number": "718-795-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 YELLOWSTONE BLVD",
"address_2": "CFU 101",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751530",
"telephone_number": "718-896-3376",
"fax_number": "718-795-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALTIEL",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "245541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.