Individual provider Active NPI

Jeanne Marie Franck, M.D.

  • MOHS-Micrographic Surgery Physician
  • New York, NY
National Provider Identifier
1982671814
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
190241-1 Issued in NY
Practice address
16 E 98TH St Ofc 1F
New York, NY 10029-6549
Phone
(212) 348-3414
Fax
(212) 860-3815
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 190241-1 NY Primary

Addresses

Primary practice location

16 E 98TH St Ofc 1F
New York, NY 10029-6549

Mailing address

16 E 98TH St Ofc 1F
New York, NY 10029-6549
Phone (212) 348-3414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090423000078 NY Practitioner - Dermatology 9638227044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mariwalla Dermatology PLLCGroup PAC ID 5799962676, 4 clinicians

Practice addresses (Care Compare)

1253 Montauk Hwy
West Islip, NY 11795-4916
Phone (631) 665-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of skin cancer94
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
190241-1NYMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mariwalla Dermatology, PLLC Mohs-Micrographic Surgery CurrentSince Mar 1, 2025 Accepting new patients

Locations

1253 Montauk Hwy
West Islip, NY 11795
Phone (631) 661-1400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1982671814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E 98TH ST OFC 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296549",
            "telephone_number": "212-348-3414",
            "fax_number": "212-860-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 98TH ST OFC 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296549",
            "telephone_number": "212-348-3414",
            "fax_number": "212-860-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCK",
        "first_name": "JEANNE MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "190241-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.