Active NPI 1588892558 Individual Practitioner Female Practitioner

Dr. Cedar Helen Malone , MD

Dermatology • Pinehurst, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Cedar Malone, MD is a certified Dermatology practicing in Pinehurst, NC. With approximately 17 years of clinical experience since graduating from University Of Florida College Of Medicine in 2009, Dr. Malone delivers high-quality medical care to the local community at 125 FOX HOLLOW RD STE 210.

Dr. Malone is affiliated with Southern Dermatology Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks, intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

125 Fox Hollow Rd Ste 210

Pinehurst, NC 283748593

Telephone 9104237546

Associated Practice Facility / Clinic

🏢 Anne Arundel Dermatology Llc Facility NPI 1063481703

Medicare Profile & Education

Medical School

University Of Florida College Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Pinehurst, NC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +2.8 yrs vs City Avg

City Avg: 14.2 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

9 Specialists

Practicing in Pinehurst, NC (521 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Malone (17 Years) 17 Yrs

Pinehurst Specialty Average (14.2 Years) 14.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	759	634	$2618.29	$493.14
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	490	402	$2457.96	$500.57
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	339	329	$1200.88	$148.28
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	288	221	$1594.07	$382.14
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	224	220	$1970.98	$223.22
11102 Tangential biopsy of single skin lesion	180	172	$247.33	$49.74
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	103	102	$2993.20	$953.97
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	85	83	$1166.11	$156.98
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	76	74	$3023.36	$709.89
88331 Pathology examination of specimen during surgery, first tissue block	68	60	$425.00	$95.56
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	64	63	$1281.64	$172.93
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	61	60	$1708.69	$195.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$275.00	$105.77
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	50	49	$3768.00	$864.27
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	48	48	$2067.71	$236.16
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	46	45	$1721.80	$201.16
17000 Destruction of skin growth	43	43	$200.00	$32.99
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	42	42	$3030.36	$648.86
11103 Biopsy of related skin growth, each additional growth	41	32	$125.00	$47.04
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	28	28	$1535.71	$202.92
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$175.00	$83.91
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	25	21	$1500.00	$369.75
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	23	23	$2865.22	$647.94
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	21	21	$1096.97	$157.59
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	21	21	$3647.62	$757.41
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	19	19	$1043.69	$171.50
69100 Biopsy of ear	19	18	$300.00	$47.29
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	18	18	$4025.00	$877.26
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$175.00	$69.21
12035 Repair of wound (12.6 to 20.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs	15	15	$1560.00	$184.54
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$620.00	$81.05
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	13	13	$707.69	$161.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$116.67	$53.91
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	11	11	$1056.82	$145.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	1,027	522	$484.99	$391.97
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	805	616	$850.62	$534.36
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	270	211	$681.21	$529.63
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	242	160	$398.05	$374.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	219	219	$109.64	$106.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$163.05	$157.52
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	105	101	$449.01	$155.17
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	70	68	$360.76	$149.85
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	64	63	$946.55	$694.14
99213 Established patient office or other outpatient visit, typically 15 minutes	51	49	$101.90	$87.43
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	48	48	$1684.26	$987.45
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	46	43	$473.31	$152.83
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	45	44	$483.09	$178.06
11102 Tangential biopsy of single skin lesion	41	40	$117.79	$50.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	37	$55.00	$53.24
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	39	39	$806.33	$667.04
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	32	32	$337.54	$166.04
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	32	32	$1022.58	$835.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$123.00	$123.21
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	23	23	$1212.72	$904.19
88331 Pathology examination of specimen during surgery, first tissue block	23	21	$118.39	$90.73
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	20	20	$1045.81	$750.31
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	19	19	$697.94	$243.99
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	13	13	$1559.66	$824.70
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	13	13	$730.41	$244.33
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	13	13	$448.30	$140.37
12054 Repair of wound (7.6 to 12.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	11	11	$541.97	$188.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	1,163	617	$398.63	$393.47
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	941	736	$656.97	$550.92
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	372	279	$616.18	$537.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	291	291	$110.17	$108.15
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	282	187	$380.07	$379.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	176	176	$164.40	$162.48
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	94	89	$308.71	$155.04
99202 New patient office or other outpatient visit, typically 20 minutes	92	92	$71.07	$70.51
99213 Established patient office or other outpatient visit, typically 15 minutes	78	70	$89.65	$88.45
11102 Tangential biopsy of single skin lesion	64	60	$99.33	$56.87
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	59	57	$295.25	$168.07
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	55	54	$743.01	$704.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	54	$126.12	$125.37
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	50	50	$752.96	$716.28
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	45	45	$912.49	$873.19
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	29	28	$305.54	$148.39
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	27	26	$358.31	$178.79
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	24	23	$277.69	$139.17
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	23	21	$329.60	$166.25
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	23	22	$416.56	$209.02
88331 Pathology examination of specimen during surgery, first tissue block	22	19	$98.87	$99.25
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	20	20	$486.94	$243.97
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	18	18	$461.80	$232.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$54.79	$55.18
11103 Biopsy of related skin growth, each additional growth	18	16	$49.61	$49.83
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	17	17	$1009.95	$967.97
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$237.86	$152.81
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$278.97	$198.79
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	12	12	$900.35	$905.13
21235 Obtaining ear cartilage for grafting	12	12	$712.76	$625.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	573	452	$668.80	$551.14
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	503	315	$404.54	$393.13
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	194	154	$620.94	$561.29
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	110	79	$386.05	$376.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$109.44	$110.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$164.89	$163.74
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	70	69	$308.26	$160.09
99202 New patient office or other outpatient visit, typically 20 minutes	64	64	$71.71	$71.45
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	54	53	$814.96	$698.78
11102 Tangential biopsy of single skin lesion	38	37	$101.10	$60.03
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	35	35	$752.33	$743.00
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	20	18	$311.39	$132.16
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	19	$298.71	$151.07
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	19	19	$492.92	$249.28
88331 Pathology examination of specimen during surgery, first tissue block	15	13	$101.95	$101.16
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	14	14	$1074.10	$916.35
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	14	14	$280.40	$139.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$54.55	$54.97
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	13	13	$894.15	$834.81
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	13	13	$466.07	$235.71
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	11	11	$962.79	$841.01
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$88.69	$89.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	74	15	$30.43	$5.37
99213 Established patient office or other outpatient visit, typically 15 minutes	70	59	$191.60	$73.36
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	56	51	$990.18	$559.89
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	37	25	$550.00	$396.43
11100 Biopsy of single growth of skin and/or tissue	36	34	$492.56	$103.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	22	$105.56	$44.66
11101 Biopsy of each additional growth of skin and/or tissue	27	15	$163.33	$33.30
17000 Destruction of skin growth	26	22	$317.27	$53.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	106	88	$851.34	$537.02
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	71	48	$510.24	$393.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	33	$67.76	$43.63
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	19	19	$854.21	$241.20
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	16	16	$516.00	$158.15
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	15	15	$942.00	$773.34
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$111.54	$73.62
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	12	12	$1255.00	$1029.44

Medical Specialties & State Licenses

CMS Verified: 2026-04-06

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License NC 2021-00736

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License NC 2021-00736

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.

Hospital & Practice Group Affiliations

Southern Dermatology Pa

125 Fox Hollow Rd, Pinehurst, NC 283748594

Phone: 9106845211

Secondary Practice Locations

125 Fox Hollow Rd Ste 100

Pinehurst, NC 283748592

Phone: 9106845211

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Cassidy Conley , PA-C

Physician Assistant

NPI 1053828657

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location April 06, 2026

Registered at 125 FOX HOLLOW RD STE 210, PINEHURST, NC 283748593 (Tel: 9104237546)

📍

Updated Business Mailing Address April 06, 2026

Registered at PO BOX 23329, NEW YORK, NY 100873329

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2026

Dermatology (License #2021-00736 in NC)

📍

Updated Practice Location December 29, 2023

Registered at 1180 RESURGENCE DR STE 100, WATKINSVILLE, GA 306777211 (Tel: 7065435858)

📍

Updated Business Mailing Address December 29, 2023

Registered at 1180 RESURGENCE DR STE 100, WATKINSVILLE, GA 306777211 (Tel: 7065435858)

📍

Updated Practice Location March 10, 2021

Registered at 5 REGIONAL CIR STE B&C, PINEHURST, NC 283749863 (Tel: 9102951761)

📍

Updated Business Mailing Address March 10, 2021

Registered at 200 WELLESLEY TRADE LN, CARY, NC 275195576 (Tel: 9193637546)

📍

Updated Practice Location March 27, 2018

Registered at 1977 BUTLER BLVD, HOUSTON, TX 770304101 (Tel: 7137981000)

📍

Updated Business Mailing Address March 27, 2018

Registered at 1977 BUTLER BLVD, HOUSTON, TX 770304101 (Tel: 7137981000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2018

Dermatology (License #Q8953 in TX)

✅

NPI Profile Active May 20, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 20, 2013

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 775550783 (Tel: 4097721911)

📍

Updated Business Mailing Address May 20, 2013

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 775550783 (Tel: 4097721911)

👤

Provider Name / Credentials Updated May 20, 2013

Recorded as CEDAR MALONE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2013

Dermatology (License #BP10046282 in TX)

🟢

Initial NPI Registration & Enumeration June 29, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1588892558

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 29, 2009

Last Update: April 06, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 23329

New York, NY 100873329

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.