Individual provider Active NPI

Michael Paltiel, MD

  • Dermatology Physician
  • Forest Hills, NY
National Provider Identifier
1760525935
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
245541 Issued in NY
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

Updated by the provider on Dec 11, 2012

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080715000680 NY Practitioner - Dermatology 8123191731 Reassigns benefits to 2 organizations

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
Michael Paltiel MD PCGroup PAC ID 2163595729, 3 clinicians

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions2312
Removal of nail tissue14
Removal or shaving of skin growth98
Skin biopsy242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245541NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Quest Physical Therapy, P.C. CurrentSince Dec 15, 2019 Accepting new patients
Richard S. Berry MDPC Dermatology CurrentSince Jul 1, 2008 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.