DR. MATTHEW BRETT QUAN (NPI# 1578535910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578535910 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW BRETT QUAN |
| Credential | M.D. |
| Practice Address |
700 Park Ave New York NY 10021 |
| Mailing Address |
22 West 15 St 21a New York NY 10011 |
| Practice Telephone | 2125176555 |
| Practice Fax Number | 2124726796 |
| Mailing Telephone | 9177214901 |
| Mailing Fax Number | 2123669419 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 216306 | NY | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | G073273 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
216306 | NY | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
MA70706 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GHI | 2299453 | 01 | |
| BCBS | 3K1153 | 01 | |
| HEALTHNET | 3C3691 | 01 | |
| OXFORD | P2527966 | 01 | |
| AETNA PPO HMO | 216306 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158113 | Matthew Barrett Quan | Physical Therapist | 2145 The Alameda, San Jose, CA 95126-1141 | 2019-01-18 |
| Street Address |
700 PARK AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154489318 | Mitchell A. Kline Md PC | Specialist | 700 Park Ave, New York, NY 10021-4930 | 2006-12-04 |
| 1932277415 | Matthew B. Quan, M.d., P.C. | Dermatology | 700 Park Ave, New York, NY 10021-4930 | 2006-12-01 |
| 1932136231 | Mitchell A Kline | Specialist | 700 Park Ave, New York, NY 10021-7098 | 2006-06-26 |
| 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 |
| 1255535993 | Weill Medical College of Cornell University | Dermatology | 1305 York Ave., 9th Floor, New York, NY 10021-4870 | 2007-06-14 |
| 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 |
| 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.