| NPI | 1063405025 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-08-25 |
| Last Updated | 2022-06-15 |
| Mailing Address | 264 Washington Avenue Ext Ste 201 Albany, NY 12203-6352 United States Phone: (518) 452-1928 | Fax: (518) 362-1348 📍 View Map |
| Primary Practice Address | 264 Washington Avenue Ext Ste 201 Albany, NY 12203 United States Phone: (518) 452-1928 | Fax: (518) 362-1348 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | NY | 1823931 | NYLicense |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 174400000X – Specialist | — | — |
| No | 207ND0101X – Dermatology, MOHS-Micrographic Surgery | NY | 182393 |
| Yes | 207ND0101X – Dermatology, MOHS-Micrographic Surgery | NY | 182393-1 |
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About NPI 1063405025
Michael J Mulvaney M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063405025. The primary specialty listed is Dermatology, MOHS-Micrographic Surgery. The provider is located in Albany, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063405025?
NPI 1063405025 belongs to Michael J Mulvaney M.D., a Dermatology, MOHS-Micrographic Surgery in Albany, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063405025 active?
The current status of NPI 1063405025 in the NPPES registry is Active. The record was last updated on 2022-06-15.
What specialty is NPI 1063405025?
NPI 1063405025 is classified under the taxonomy Dermatology, MOHS-Micrographic Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063405025?
You can verify NPI 1063405025 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063405025?
The primary practice address on file for NPI 1063405025 is 264 Washington Avenue Ext Ste 201, Albany, NY 12203. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063405025 issued?
NPI 1063405025 was first issued (enumerated) on 2005-08-25. The NPPES record was last updated on 2022-06-15.
Practice Location Map
Michael J Mulvaney is located at 264 Washington Avenue Ext Ste 201, Albany, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Michael J Mulvaney. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063405025. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology, MOHS-Micrographic Surgery | 182393 | NY |
| Dermatology, MOHS-Micrographic Surgery | 182393-1 | NY |