| Michael Tassavor, MD | |
|
820 2nd Ave Rm 3a, New York, NY 10017-4534 | |
| (212) 661-3376 | |
| (212) 661-3366 |
| Full Name | Michael Tassavor |
|---|---|
| Gender | Male |
| Speciality | Micrographic Dermatologic Surgery (mds) |
| Experience | 7 Years |
| Location | 820 2nd Ave Rm 3a, 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 |
|---|---|---|---|
| 1043707003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 25MA11789400 (New Jersey) | Primary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 323010-01 (New York) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Jersey Dermatology And Aesthetics Center Llc | 3678822608 | 2 |
| Dermatology Center Of North Jersey | 6406802388 | 3 |
| Manhattan Dermatology And Cosmetics Pllc | 4385778570 | 8 |
| Entity Name | Dermatology Center Of North Jersey |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326141110 PECOS PAC ID: 6406802388 Enrollment ID: O20050323001119 |
| Entity Name | New Jersey Dermatology And Aesthetics Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780178871 PECOS PAC ID: 3678822608 Enrollment ID: O20180823002160 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Tassavor, MD 140 Ten Rod Hwy, Rocky Hill, CT 06067-2849 Ph: (212) 659-9530 | Michael Tassavor, MD 820 2nd Ave Rm 3a, New York, NY 10017-4534 Ph: (212) 661-3376 |
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 | |
Gregory Scott Phillips, MD Dermatology Medicare: Medicare Enrolled 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: Medicare Enrolled Practice Location: 110 E 60th Street, Suite 606, New York, NY 10022 Phone: 212-444-8204 | |
Dr. Morgan Erica Rabach, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 33 5th Ave, 1b, New York, NY 10003 Phone: 212-777-2272 Fax: 212-777-2274 | |
Dr. Robert Lynn Finney Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 73 Spring St Rm 303, New York, NY 10012 Phone: 212-431-4749 |