IRA DAVIS, MD, PLLC – NPI #1750410759
Dermatology

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.

IRA DAVIS, MD, PLLC is a dermatologist located in STATEN ISLAND, NY. NPPES has assigned the NPI number 1750410759 to IRA DAVIS, MD, PLLC on March 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 11 years ago on Jul 24, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IRA DAVIS, MD, PLLC below.

NPI Profile for
IRA DAVIS, MD, PLLC

NPI Number
1750410759
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IRA DAVIS, MD, PLLC
Primary location
2627 HYLAN BLVD # C
BOX 10
STATEN ISLAND, NY 10314
Phone: (718) 477-4022 Fax: (718) 698-9573
Mailing address
280 N CENTRAL AVE
SUITE 114
HARTSDALE, NY 10530-1832
Phone: (914) 288-0500 Fax: (914) 288-0260
Organization Subpart
No
Authorized Official
WENDY MANN
BILLER
Phone: (914) 774-2478
Updated
Identifiers

Identifiers for IRA DAVIS, MD, PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCNY3K2111
OTHERHEALTHNETNYOH4223
OTHEROXFORD ID#NYP2869871
OTHERRR MCRNYP00221021
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)
NY 182268
207NS0135X
- Dermatology / Procedural Dermatology
NY 182268

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.