Tobechi L. Ebede, MD, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

245700 Issued in NY

Legal business name

TOBECHI L. EBEDE, MD, PLLC

Practice address

26 Court St
Suite 1005
Brooklyn, NY 11242-0103

Phone

(718) 522-6647

Fax

(718) 858-2461

NPI assigned

Jul 17, 2016

Organization subpart

No

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

Authorized official

Name

Tobechi Ebede, MDNPI 1992963946

Title

Medical Director

Phone

(718) 522-6647

Specialties & licenses 3

Addresses

Other names 1

• Plaza Park Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tobechi Lynda Ebede, MD

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1992963946
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1468713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468713600000",
    "number": "1831542661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COURT ST",
            "address_2": "SUITE 1005",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112420103",
            "telephone_number": "718-522-6647",
            "fax_number": "718-858-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST",
            "address_2": "SUITE 1005",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112420103",
            "telephone_number": "718-522-6647",
            "fax_number": "718-858-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBECHI L. EBEDE, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-17",
        "last_updated": "2016-07-17",
        "status": "A",
        "authorized_official_last_name": "EBEDE",
        "authorized_official_first_name": "TOBECHI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-522-6647",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "245700",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "245700",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "245700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Park Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miriam Chava Toaff
• Judith E Tobal, BCHN, FNTP, IHHC
• Leah Tobal, MS
• Deborah Hanna Tobaly
• Tobb Future Enterprises LLC
• Jaity Tobee, NP-C
• Eliezer Tober
• Tova Tober, SPECIAL ED
• Sarah Tobi
• Tobias Acupuncture PLLC

• Dermatology Physician in Brooklyn, NY
• Providers in Brooklyn, 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 Jul 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.