NPIMap

Organization Active NPI

Matthew B. Quan, M.D., P.C.

  • MOHS-Micrographic Surgery Physician
  • New York, NY
National Provider Identifier
1932277415
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
216306 Issued in NY
Legal business name
MATTHEW B. QUAN, M.D., P.C.
Practice address
700 Park Ave
New York, NY 10021-4930
Phone
(212) 517-6555
Fax
(212) 472-6796
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Matthew Brett Quan, M.D
Title
Dermatologist Doctor
Phone
(212) 517-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X 216306 NY Primary

Addresses

Primary practice location

700 Park Ave
New York, NY 10021-4930

Mailing address

700 Park Ave
New York, NY 10021-4930
Phone (212) 517-6555

Other identifiers 10

IdentifierTypeStateIssuer
189036POtherNYHIP PROVIDER NUMBER
216306OtherNYMAGNACARE PROVIDER NUMBER
216306OtherNYLICENSE NUMBER
3C3691OtherNYHEALTHNET
3K1153OtherNYBLUECROSS PROVIDER NUMBER
4673219OtherNYAETNA
3408075OtherNYAETNA PROVIDER NUMBER
P2527966OtherNYOXFORD PROVIDER NUMBER
2299453OtherNYGHI PROVIDER NUMBER
0102163306NY02OtherNYANTHEM PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1932277415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214930",
            "telephone_number": "212-517-6555",
            "fax_number": "212-472-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214930",
            "telephone_number": "212-517-6555",
            "fax_number": "212-472-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW B. QUAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "QUAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "DERMATOLOGIST DOCTOR",
        "authorized_official_telephone_number": "212-517-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "216306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PROVIDER NUMBER",
            "identifier": "189036P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE PROVIDER NUMBER",
            "identifier": "216306",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "216306",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3C3691",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS PROVIDER NUMBER",
            "identifier": "3K1153",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4673219",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "3408075",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER NUMBER",
            "identifier": "P2527966",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER NUMBER",
            "identifier": "2299453",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "0102163306NY02",
            "state": "NY"
        }
    ],
    "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 Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.