| James N Icken, MD | |
|
200 Central Park S Apt 107, New York, NY 10019-1449 | |
| (212) 262-2500 | |
| (212) 765-3210 |
| Full Name | James N Icken |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 51 Years |
| Location | 200 Central Park S Apt 107, New York, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730156225 | NPI | - | NPPES |
| 05366367 | Medicaid | NY | |
| A400207255 | Other | NY | DERMATOLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2001219 (New Mexico) | Secondary |
| 207N00000X | Dermatology | 295696-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Dermatology Pc | 3274526850 | 69 |
| Entity Name | Advanced Dermatology Of New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083610521 PECOS PAC ID: 5193617082 Enrollment ID: O20040325001709 |
| Entity Name | Advanced Dermatology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134201460 PECOS PAC ID: 3274526850 Enrollment ID: O20040407001573 |
| Mailing Address | Practice Location Address |
|---|---|
| James N Icken, MD 200 Central Park S Apt 107, New York, NY 10019-1449 Ph: (212) 262-2500 | James N Icken, MD 200 Central Park S Apt 107, New York, NY 10019-1449 Ph: (212) 262-2500 |
Dr. Elizabeth Anne Konecky, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 424 W End Ave, 8f, New York, NY 10024 Phone: 212-362-2609 Fax: 212-362-2609 | |
Angela Marie Leo, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 315 Church St Fl 2, New York, NY 10013 Phone: 212-334-3774 | |
Costner Mckenzie, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 69 E 76th St, New York, NY 10021 Phone: 800-778-3090 | |
Gregory Scott Phillips, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 820 2nd Ave Rm 3a, New York, NY 10017 Phone: 212-661-3376 Fax: 212-661-3366 | |
Liang Deng, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1275 York Ave, New York, NY 10021 Phone: 646-227-3813 | |
Dr. Andrea Nandini Persaud, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 215 East 95th Street, New York, NY 10128 Phone: 212-996-8000 Fax: 212-423-3127 | |
Dr. Arash Akhavan, M.D., F.A.A.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 110 E 60th Street, Suite 606, New York, NY 10022 Phone: 212-444-8204 |