Provider Demographics
NPI:1104817675
Name:OSTAD, ARIEL (MD)
Entity type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:
Last Name:OSTAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:897 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-6103
Mailing Address - Country:US
Mailing Address - Phone:212-517-7900
Mailing Address - Fax:212-517-9252
Practice Address - Street 1:897 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-6103
Practice Address - Country:US
Practice Address - Phone:212-517-7900
Practice Address - Fax:212-517-9252
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY201981207ND0101X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0M0002OtherHEALTHNET
NYP448962OtherOXFORD
NY201981OtherHIP
AETNAOther5836428
0M0002OtherHEALTHNET
NYG08066Medicare UPIN