Elena Maydan (NPI# 1033145255, PAC ID# 6507840113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1033145255 |
| PAC ID by PECOS | 6507840113 |
| Professional Enrollment ID | I20040614000220 |
| Full Name | Elena Maydan |
| Organization Legal Name | CLARK DERMATOLOGY LLC |
| Address |
703 Kearny Ave Kearny NJ 07032-3003 |
| Phone Number | 2019984699 |
| Gender | F |
| Credential | MD |
| Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 2000 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5395703573 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 385 Merrick Rd, Amityville, NY 11701-3420 | 2122833000 | SCHWEIGER DERMATOLOGY PLLC |
| 703 Kearny Ave, Kearny, NJ 07032-3003 | 2019984699 | CLARK DERMATOLOGY LLC |
| 301 N Main St, Suite 3, New City, NY 10956-4021 | 8454992017 | SCOTT SANDERS MD PLLC |
| 4 Corporate Dr, Suite 386, Shelton, CT 06484-6240 | 2035385682 | CONNECTICUT SKINHEALTH LLP |
| 327 E Middle Country Rd, Smithtown, NY 11787-2905 | 6319790909 | DR DONNA A SERURE, DERMATOLOGY AND COSMETIC LASER SURGERY, PC |
| 1324 Victory Blvd, Staten Island, NY 10301-3917 | 7184484488 | CLARK DERMATOLOGY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% |
| Organization Legal Name | CLARK DERMATOLOGY LLC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela N Beckford | Dermatology | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Richard W Urbanek | Dermatology | Clark Dermatology LLC | 1324 Victory Blvd, Staten Island, NY 10301-3917 |
| Dafna Wild | Physician Assistant | Clark Dermatology LLC | 703 Kearny Ave, Kearny, NJ 07032-3003 |
| Jalpa Patel | Physician Assistant | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Kristie Walton | Nurse Practitioner | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Elizabeth A Walker | Nurse Practitioner | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Matthew F. Rossano | Physician Assistant | Clark Dermatology LLC | 1324 Victory Blvd, Staten Island, NY 10301-3917 |
| Douglas J Pravda | Dermatology | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Inga Bufano | Physician Assistant | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| L Robert Smith | Dermatology | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Street Address |
703 KEARNY AVE |
| City | KEARNY |
| State | NJ |
| Zip | 07032-3003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dafna Wild | Physician Assistant | Clark Dermatology LLC | 703 Kearny Ave, Kearny, NJ 07032-3003 |
| Richard D Fox | Dermatology | Clark Dermatology LLC | 703 Kearny Ave, Kearny, NJ 07032-3003 |
| S Jose Fishman | Dermatology | Clark Dermatology LLC | 703 Kearny Ave, Kearny, NJ 07032-3003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohit Kapoor | Optometry | Advanced Eyecare 2020 | 90 Passaic Ave, Kearny, NJ 07032-1106 |
| Tadd L Campbell | Psychologist, Clinical | Medop Behavioral Health Associates of New Jersey PC | 195 Belgrove Dr, Kearny, NJ 07032-1507 |
| Edward M Killilea Ii | Cardiovascular Disease (cardiology) | 111 Grand Pl, Kearny, NJ 07032-1846 | |
| Viren Desai | Pulmonary Disease | Thoracic Medical Associates, LLC. | 221 Kearny Ave, Kearny, NJ 07032-2437 |
| Kanchana Balasubramanian | General Practice | Thoracic Medical Associates, LLC. | 221 Kearny Ave, Kearny, NJ 07032-2437 |
| Joseph Maggio Iv | Chiropractic | 267 Kearny Ave, Kearny, NJ 07032-2507 | |
| Edward S Maslansky | Optometry | 399 Kearny Ave, Kearny, NJ 07032-2603 | |
| Marissa B Israel | Optometry | 399 Kearny Ave, Kearny, NJ 07032-2603 | |
| Joshua Duffy | Chiropractic | 418 Kearny Ave, Kearny, NJ 07032-2604 | |
| Robert F Looby | Physical Therapy | 586 Kearny Ave, Kearny, NJ 07032-2615 | |
| Find all physicians in zip 07032 | |||
| City | KEARNY |
| Zip Code | 07032 |
| Specialty | DERMATOLOGY |
| City + Specialty | KEARNY + DERMATOLOGY |
Please comment or provide details below to improve the information on Elena Maydan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.