IRA DAVIS MD PLLC NPI 1750410759

NPI Information

NPI: 1750410759
Provider Name: IRA DAVIS, MD, PLLC
Classification: Dermatology - 207ND0101X
Specialization: MOHS-Micrographic Surgery
Entity Type: Organization
CLIA Number: 33D0975309
Address: 2627 HYLAN BLVD # C
BOX 10
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 477-4022

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NPI Details

IRA DAVIS, MD, PLLC is a mohs-micrographic surgery dermatology in Staten Island, NY. The provider is 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 NPI is 1750410759. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2627 HYLAN BLVD # C
BOX 10
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 477-4022
Fax: (718) 698-9573

The provider's authorized official is Wendy Mann .
The authorized official title is Biller and has the following contact phone number (914) 774-2478.

The CLIA number assigned to this NPI record is 33D0975309 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 7/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207NS0135X	Dermatology	Procedural Dermatology	182268	NEW YORK	No
2	207ND0101X	Dermatology	MOHS-Micrographic Surgery	182268	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00221021	OTHER	NEW YORK	RR MCR
2	E86323	MEDICARE UPIN	NEW YORK
3	OH4223	OTHER	NEW YORK	HEALTHNET
4	82F472	MEDICARE PIN	NEW YORK
5	WLP691	MEDICARE PIN	NEW YORK
6	3K2111	OTHER	NEW YORK	BC
7	P2869871	OTHER	NEW YORK	OXFORD ID#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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