WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY (NPI# 1255535993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255535993 |
| Entity Type | Organization |
| Organization Name | WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY |
| Other Organization Name | MOH SURGERY |
| Practice Address |
1305 York Ave. 9th Floor New York NY 10021-4870 |
| Mailing Address |
575 Lexington Ave Suite 540 New York NY 10022-6102 |
| Practice Telephone | 2125905741 |
| Mailing Telephone | 2125905741 |
| Mailing Fax Number | 2125905798 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-03-24 |
| Authorized Official Name | CHRISTOPHER T. KELLS (ASSOCIATE DIRECTOR) |
| Authorized Official Telephone | 2125905741 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Moh Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689065401 | Weill Medical College of Cornell University | Clinic/Center | 525 E 68 St, Dept of Neurology, New York, NY 10065 | 2015-02-16 |
| 1124319710 | Weill Medical College of Cornell University | Radiology | 516 E 72nd St, New York, NY 10021-4804 | 2011-04-29 |
| 1447521836 | Weill Medical College of Cornell University | Internal Medicine | 82 East Allendale Road, Suite 3a, Saddle River, NJ 07458-3057 | 2012-01-18 |
| 1972889731 | Weill Medical College of Cornell University | Internal Medicine | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2011-10-25 |
| 1831473222 | Weill Medical College of Cornell University | Internal Medicine | 77 Quaker Ridge Rd, New Rochelle, NY 10804-2808 | 2011-10-04 |
| 1518241918 | Weill Medical College of Cornell University | Internal Medicine | 100 Woods Rd, Valhalla, NY 10595-1530 | 2011-10-04 |
| 1003190414 | Weill Medical College of Cornell University | Internal Medicine | 41 E Post Rd, White Plains, NY 10601-4607 | 2011-10-04 |
| 1487933081 | Weill Medical College of Cornell University | Pediatrics | 505 E 70th St, Box 585, New York, NY 10021-4872 | 2011-08-12 |
| 1053609545 | Weill Medical College of Cornell University | Internal Medicine | 933 Mamaroneck Ave, Mamaroneck, NY 10543-1662 | 2011-07-18 |
| 1447546536 | Weill Medical College of Cornell University | Internal Medicine | 175 Memorial Hwy Ste 1-1, New Rochelle, NY 10801-5639 | 2011-06-27 |
| Street Address |
1305 YORK AVE. 9TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-4870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578989075 | Devon Klauck | Registered Nurse | 1305 York Ave., 6th Floor, New York, NY 10021 | 2014-03-10 |
| 1447502547 | Weill Medical College of Cornell | Internal Medicine | 1305 York Ave., 4th Floor, New York, NY 10021-5663 | 2012-10-12 |
| 1639365554 | Weill Medical College of Cornell University | Transplant Surgery | 1305 York Ave., Division of Digestive Diseases, New York, NY 10065 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598225260 | Dermatology Laser and Surgery of Carnegie Hill Pllc | Dermatology | 1095 Park Ave Ste 1a, New York, NY 10128-1154 | 2019-03-20 |
| 1245651827 | Complete Skin & Laser Surgery PC | Dermatology | 225 E 64th St Fl 2, New York, NY 10065-6690 | 2013-12-26 |
| 1598043432 | Marmur Dermatology and Cardiology, Pllc | Dermatology | 12 E 87th St Suite 1a, New York, NY 10128-0501 | 2011-07-26 |
| 1336291657 | Michael Jonathan Albom | Dermatology | 33 E 70th St, 1f, New York, NY 10021-4941 | 2007-01-17 |
| 1093899791 | The New York Aesthetic Consultants LLP | Dermatology | 260 East 66th Street, New York, NY 10021 | 2006-10-25 |
| 1548360795 | Desiree Ratner | Dermatology | 36 E 36th St Ste 204, New York, NY 10016-3441 | 2006-09-25 |
| 1982671814 | Jeanne Marie Franck | Dermatology | 16 E 98th St Ofc 1f, New York, NY 10029-6549 | 2006-02-28 |
| 1104817675 | Ariel Ostad | Dermatology | 897 Lexington Ave, New York, NY 10021-6103 | 2005-11-02 |
| 1134114655 | Ellen S Marmur | Dermatology | 12 East 87th Street, Suite 1a, New York, NY 10128-0501 | 2005-09-12 |
| 1659373025 | Park Avenue Dermatology & Plastic Surgery LLP | Dermatology | 625 Park Ave, New York, NY 10021-6545 | 2005-08-15 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.