DR. DEBRA JOY WATTENBERG (NPI# 1437191236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437191236 |
| Entity Type | Individual |
| Full Name | DR. DEBRA JOY WATTENBERG |
| Credential | M.D. |
| Practice Address |
875 5th Ave New York NY 10021-4952 |
| Mailing Address |
875 5th Ave New York NY 10065-4952 |
| Practice Telephone | 2122883200 |
| Mailing Telephone | 2122883200 |
| Mailing Fax Number | 2122883226 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
178869 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
875 5TH AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-4952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992703391 | Andrei Carasca | Psychiatry & Neurology | 875 5th Ave, New York, NY 10065-4952 | 2005-07-08 |
| 1740455765 | Debra J. Wattenberg, M.d.,p.c | Legal Medicine | 875 5th Ave, 69th St, 2b, New York, NY 10065-4952 | 2008-04-30 |
| 1144419250 | Andrei Carasca Neurology Pllc | Psychiatry & Neurology | 875 5th Ave, New York, NY 10065-4952 | 2007-10-15 |
| 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 | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835364 | Skin & Aesthetic Surgery of Manhattan | Dermatology | 120 E 56th St # 1500, New York, NY 10022-3607 | 2020-09-14 |
| 1700149077 | Meghan Anne Feely | Dermatology | 300 E 75th St, 18l, New York, NY 10021-0216 | 2012-06-20 |
| 1487936308 | Union Square Laser Dermatology | Dermatology | 19 Union Sq W Fl 5, New York, NY 10003-3304 | 2011-09-16 |
| 1073764809 | William Jay Greenberg | Dermatology | 301 E 81st St, New York, NY 10028-4033 | 2008-10-10 |
| 1558558031 | Julia E Tzu | Dermatology | 65 Broadway Ste 904, New York, NY 10006-2523 | 2007-09-28 |
| 1891722112 | Alvin Adler | Dermatology | 100 E 74th St, Ground Floor, New York, NY 10021-3503 | 2006-06-26 |
| 1568413169 | Staten Island Physician Practice PC | Dermatology | 441 9th Ave, 9th Floor, New York, NY 10001-1623 | 2006-05-16 |
| 1962470906 | Jay Dennett | Dermatology | 10 E 85th St Ste 1a, New York, NY 10028-0412 | 2006-03-08 |
| 1144294653 | David Shawn Becker | Dermatology | 205 E 69th St, #1c, New York, NY 10021-5431 | 2006-02-14 |
| 1538139373 | Shera M. Aranoff | Dermatology | 975 Park Ave, Suite 1a, New York, NY 10028-0323 | 2006-01-24 |
| 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.