PAUL E BRODY (NPI# 1548477029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548477029 |
| Entity Type | Individual |
| Full Name | PAUL E BRODY |
| Credential | MD |
| Practice Address |
73-05 Metropolitan Ave Middle Village NY 11379 |
| Mailing Address |
144-53 72 Rd Flushing NY 11367-2504 |
| Practice Telephone | 7188945888 |
| Mailing Telephone | 9176505623 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 143755 | NY | Other Service Providers |
| Y | 207N00000X | Dermatology | 143755 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE PTAN | 53578 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235340514 | Paul Bruce Brody | Psychologist | 12 Olympia Lane, Monsey, NY 10952 | 2007-05-25 |
| 1649361312 | Paul Douglas Brody | Psychiatry & Neurology | 45 Balsam Dr, Dix Hills, NY 11746-7724 | 2006-09-27 |
| 1376578351 | Paul J. Brody | Podiatrist | 3831 Hughes Ave Ste 700, Culver City, CA 90232 | 2006-07-11 |
| Street Address |
73-05 METROPOLITAN AVE |
| City | MIDDLE VILLAGE |
| State | NY |
| Zip Code | 11379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313771 | Metro Chemists Pharmacy Inc. | Pharmacy | 73-01a Metropolitan Ave, Middle Village, NY 11379 | 2020-07-08 |
| 1063971760 | Nina Rapaport | Counselor | 63-17b Metropolitan Ave, Middle Village, NY 11379 | 2019-03-13 |
| 1275051864 | Ruo Ting Chen | Pharmacist | 7660 Metropolitan Ave, Middle Village, NY 11379 | 2017-09-02 |
| 1730618018 | Technology Testing of Ny, LLC | Technician | 7114 66 Drive, #3, Middle Village, NY 11379 | 2017-06-08 |
| 1306375662 | Vincent Pennisi | Family Medicine | 7550 Furmanville Avenue, Middle Village, NY 11379 | 2017-06-08 |
| 1700244977 | Bibi Macoon | Specialist | 63-25 Dry Harbor Road, Middle Village, NY 11379 | 2016-02-03 |
| 1588021562 | Christina Bott | Dentist | 61-02 82 St, Middle Village, NY 11379 | 2016-01-22 |
| 1518343326 | Licet Valois | Social Worker | 70-01 Metropolitan Avenue, Queens, NY 11379 | 2015-08-04 |
| 1104225002 | Resiliency Express Lcsw PC | Clinic/Center | 74-05 Metropolitan Avenue, 2nd Floor, Middle Village, NY 11379 | 2014-08-15 |
| 1710308044 | Mineola Eye Care 2 Inc | Eyewear Supplier (Equipment, not the service) | 8220 A Eliot Aveune, Middle Village, NY 11379 | 2014-01-06 |
| Find all providers in zip 11379 | ||||
| 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 |
|---|---|---|---|---|
| 1982619318 | Isabella Ilarda | Dermatology | 78-12 Metropolitan Ave, New Age Dermatology, Middle Village, NY 11379-2900 | 2006-07-31 |
| 1982844411 | Isabella Ilarda M.d., P.C. | Dermatology | 6112 69th St, P2, Middle Village, NY 11379-1142 | 2009-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636384 | Markowitz Medical Pllc | Dermatology | 1150 5th Ave # Suire1a, New York, NY 10128-0724 | 2020-10-12 |
| 1114545985 | Tarek Yamany Md Pllc | Dermatology | 229 W 60th St Apt 8e, New York, NY 10023-7507 | 2020-07-08 |
| 1952924839 | Elizabeth Jessica Ranelli | Dermatology | 16 W 17th St, New York, NY 10011-5738 | 2020-05-26 |
| 1841811148 | Stuart Daniel Shanler | Dermatology | 53 Underhill Dr, Pomona, NY 10970-2668 | 2020-04-28 |
| 1740800309 | Ns Arora Dermatology Pllc | Dermatology | 99 Jericho Tpke Ste 110, Jericho, NY 11753-1015 | 2020-04-23 |
| 1174163406 | Halite Services Crop | Dermatology | 447 Rose Ln, Rockville Centre, NY 11570-1429 | 2020-01-15 |
| 1235776485 | Libby Rhee Do Dermatology Pllc | Dermatology | 110 E 60th St # 800, New York, NY 10022-1688 | 2019-12-06 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1568018588 | Mary Matina Valinotti | Dermatology | 332 E Main St Ste 1, Bay Shore, NY 11706-8436 | 2019-08-15 |
| 1831751379 | Jessica Weiser, M.d., Pllc | Dermatology | 155 Spring St Fl 5, New York, NY 10012-5208 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLE VILLAGE |
| Zip Code | 11379 |
Please comment or provide details below to improve the information on PAUL E BRODY.
| 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.