TOBECHI L. EBEDE, MD, PLLC (NPI# 1831542661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831542661 |
| Entity Type | Organization |
| Organization Name | TOBECHI L. EBEDE, MD, PLLC |
| Other Organization Name | PLAZA PARK DERMATOLOGY |
| Practice Address |
26 Court St Suite 1005 Brooklyn NY 11242-0103 |
| Practice Telephone | 7185226647 |
| Practice Fax Number | 7188582461 |
| Mailing Telephone | 7185226647 |
| Mailing Fax Number | 7188582461 |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2016-07-17 |
| Authorized Official Name | TOBECHI EBEDE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7185226647 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
245700 | NY | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
245700 | NY | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 245700 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Plaza Park Dermatology | Doing Business As Name - Organization |
| Street Address |
26 COURT ST SUITE 1005 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11242-0103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467445445 | Helen B Mullin | Social Worker | 26 Court St, Suite 504, Brooklyn, NY 11242-0103 | 2005-08-25 |
| 1366041584 | Julie Smith | Social Worker | 26 Court St, Brooklyn, NY 11242-0103 | 2020-10-19 |
| 1033716816 | Candace Yarde | Counselor | 26 Court St, Brooklyn, NY 11242-0103 | 2020-10-05 |
| 1487251674 | Jessica J Powell | Social Worker | 26 Court St, Brooklyn, NY 11242-0103 | 2020-10-01 |
| 1407463805 | Morghann D Sims | Social Worker | 26 Court St, Brooklyn, NY 11242-0103 | 2020-09-29 |
| 1679195382 | Rosemary Singh | Social Worker | 26 Court St, Brooklyn, NY 11242-0103 | 2020-05-15 |
| 1518592385 | Christina Celello | Counselor | 26 Court St, Brooklyn, NY 11242-0103 | 2020-03-11 |
| 1740824069 | Jamison Haley Heldrich | Counselor | 26 Court St, Brooklyn, NY 11242-0103 | 2019-10-30 |
| 1376192922 | Angela Sue Roth | Counselor | 26 Court St, Brooklyn, NY 11242-0103 | 2019-09-06 |
| 1235781774 | Uplifting Hearts Counseling | Social Worker | 26 Court St, Brooklyn, NY 11242-0103 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437640224 | Briana Smith | Social Worker | 26 Court St #1416, Brooklyn, NY 11242 | 2018-05-29 |
| 1639534282 | Cassie N Fichter | Psychologist | 26 Court Street Suite 810 Office 1, Brooklyn, NY 11242 | 2015-12-28 |
| 1336489426 | Erin Baer | Social Worker | 26 Court Suite 409, Brooklyn, NY 11242 | 2013-02-26 |
| 1699989111 | Margaret Souza | Social Worker | 26 Court St. Suite 602 11242-1112, Brooklyn, NY 11242 | 2007-05-10 |
| 1326265554 | Jennifer Eigen, Slp, P.C. | Speech-Language Pathologist | 26 Court Street Suite 902, Brooklyn, NY 11242 | 2007-04-19 |
| 1417983305 | Mary Tramontin | Psychologist | Ny Forensic, 26 Court Street - Suite 912, Brooklyn, NY 11242 | 2006-06-23 |
| 1053372615 | Harriet L. Glaser | Social Worker | 26 Court Street, Suite 410, Brooklyn, NY 11242 | 2006-03-31 |
| 1568935443 | Zone Iv LLC | Social Worker | 26 Court Street, Suite 502 Office #3, Brooklyn, NY 11242 | 2019-01-03 |
| 1043731854 | Juan B Pena | Social Worker | 26 Court St Ste 1009, Brooklyn, NY 11242 | 2017-06-30 |
| 1558665190 | Talia Miriam Master | Psychologist | 26 Court St Ste 610, Brooklyn, NY 11242 | 2010-12-22 |
| Find all providers in zip 11242 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144684614 | Meagan Sara Keefe | Dermatology | 32 Court St Ste 302, Brooklyn, NY 11201-4408 | 2016-04-11 |
| 1215331228 | Centurion Dermatology PC | Dermatology | 6811 Fort Hamilton Parkway, Brooklyn, NY 11219 | 2014-10-20 |
| 1215349394 | Gladstein Medical Care PC | Dermatology | 1946 Coney Island Ave, Suite 3, Brooklyn, NY 11223-2329 | 2014-05-23 |
| 1578829198 | Sameer Bashey | Dermatology | 387 6th Ave, Brooklyn, NY 11215-3309 | 2012-04-09 |
| 1588938807 | Rachel Rubinstein | Dermatology | 1476 54th St, Brooklyn, NY 11219-4227 | 2012-03-05 |
| 1861775462 | Daniel J Tanner | Dermatology | 1401 55 Street, 5b, Brooklyn, NY 11219 | 2011-09-21 |
| 1639485469 | Aln Medical PC | Dermatology | 7819 Bay Pkwy, Brooklyn, NY 11214-1507 | 2010-08-31 |
| 1053622464 | Dr Stuart R Levine Dermatology and Dermatologic Surgery PC | Dermatology | 1717 86 St, Brooklyn, NY 11214-2817 | 2010-06-30 |
| 1083934087 | Karen Laura Hammerman | Dermatology | 2408 Ocean Ave, Brooklyn, NY 11229-3565 | 2010-06-02 |
| 1073740460 | Irene Josephine Vergilis-kalner | Dermatology | 2727 Ocean Pkwy Ste L1, Brooklyn, NY 11235-7848 | 2009-06-12 |
| Find all providers in BROOKLYN | ||||
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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.