Organization Active NPI

Barry Pomerantz MD PLLC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1861872384
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
146474 Issued in NY
Legal business name
BARRY POMERANTZ MD PLLC
Practice address
345 W 58TH St
Basement Suite
New York, NY 10019-1145
Phone
(212) 247-7546
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Dr. Barry Pomerantz, M.D.NPI 1295725257
Title
Proprietor
Phone
(917) 882-6423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 146474 NY Primary

Addresses

Primary practice location

345 W 58TH St
Basement Suite
New York, NY 10019-1145

Mailing address

140 W. End Ave
26B
New York, NY 10023-6137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150810001538 NY Part B Supplier - Clinic/Group Practice 4688989379 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

345 W 58th St
Bsmt
New York, NY 10019
Phone (212) 247-7546

250 W 57th St
#831
New York, NY 10107
Phone (212) 247-7546

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1861872384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W. END AVE",
            "address_2": "26B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W 58TH ST",
            "address_2": "BASEMENT SUITE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191145",
            "telephone_number": "212-247-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY POMERANTZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "POMERANTZ",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "917-882-6423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "146474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.