Active NPI
Michael Allen Vale, MD
- Dermatology Physician
- Huntington, NY
National Provider Identifier
1851401269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 127689
- Practice address
- 205 East Main St
Suite 2-7B
Huntington, NY 11743-7937 - Phone
- (631) 271-2769
- Fax
- (631) 271-2769
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 127689 | NY | Primary |
Addresses
Primary practice location
205 East Main St
Suite 2-7B
Huntington, NY 11743-7937
Mailing address
205 East Main St
Suite 2-7B
Huntington, NY 11743-7937
Phone (631) 271-2769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00688151 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127689 | NY | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851401269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 EAST MAIN ST",
"address_2": "SUITE 2-7B",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117437937",
"telephone_number": "631-271-2769",
"fax_number": "631-271-2769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 EAST MAIN ST",
"address_2": "SUITE 2-7B",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117437937",
"telephone_number": "631-271-2769",
"fax_number": "631-271-2769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALE",
"first_name": "MICHAEL",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "127689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00688151",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.