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
Last updated
Jun 23, 2008By the provider in NPPES
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.DNPI 1578535910
Title
Dermatologist Doctor
Phone
(212) 517-6555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": [],
    "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.