Eidelman Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

209980 Issued in NY

Legal business name

EIDELMAN DERMATOLOGY PLLC

Practice address

245 W 19TH St
Ground FL
New York, NY 10011

Phone

(212) 675-0549

Fax

(212) 675-0540

NPI assigned

Apr 27, 2009

Organization subpart

No

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

Authorized official

Name

Michael E Eidelman, M.D.NPI 1689656654

Title

Owner

Phone

(212) 675-0549

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Michael Eidelman, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1689656654
  Medicare reassignment Care Compare group NPD Authorized official
• Brian Ginsberg, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1194016212
  Medicare reassignment Care Compare group NPD
• Cloe Savino

  • Physician Assistant
  • New York, NY
  • NPI 1164010856
  Medicare reassignment Care Compare group
• Whitney Paige Bowe, M.D.

  • Student in an Organized Health Care Education/Training Program
  • New Hyde Park, NY
  • NPI 1467658567
  NPD (past)

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1891939575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W 19TH ST",
            "address_2": "GROUND FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-675-0549",
            "fax_number": "212-675-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W 19TH ST",
            "address_2": "GROUND FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-675-0549",
            "fax_number": "212-675-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIDELMAN DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "EIDELMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-675-0549",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "209980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Francois Eid, MD
• Maya Eid, MD/PHD
• Nathalie A Eid, MD
• Emily Kott Eida, M.D.
• Linda Eidelberg, PH.D
• Michael Eidelman, MD
• Nicole Rose Eiden, MD
• Mahyar Eidgah, M.D.
• Laura D'Nell Eidlitz, PHD
• Daniel Eidman, M.D.

• Dermatology Physician in New York, NY
• Providers in New York, 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 Mar 14, 2011; 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.