Isabelle Ponge Wilson MD PC
NPI 1396866281ActiveOrganization· Dermatology, Procedural Dermatology· New York, NY
Dermatology, Procedural Dermatology in New York, New York, registered in NPPES in April 2007. The authorized official on file is Isabelle Ponge Wilson, MD, Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396866281 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 2, 2007 |
| Last updated in NPPES | Jan 3, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, Procedural Dermatology Primary | 207NS0135X | 198244 | NY |
| Dermatology | 207N00000X | 198244 | NY |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 198244 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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