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ISABELLE PONGE WILSON MD PC
NPI 1396866281
Dermatology - Procedural Dermatology in New York, NY

Active since April 02, 2007CLIA 33D0973826 · Certificate of Compliance
50 PARK AVE, NEW YORK, NY 10016(212) 679-4134(212) 679-7079 Get Directions Write a Review

NPPES record last updated: January 3, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Isabelle Ponge Wilson Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISABELLE PONGE WILSON MD PC (NPI 1396866281) is a healthcare organization registered as a procedural dermatology in New York, New York and active in the NPI registry since April 2007. The organization holds a CLIA Certificate of Compliance certificate valid through December 26, 2026 and lists Isabelle Ponge Wilson, Doctor, as its authorized official.

NPPES Registry Identity

NPI1396866281
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameISABELLE PONGE WILSON MD PC
Location Address50 PARK AVENew York, NY 10016-3075
Mailing Address50 Park AveNew York, NY 10016-3075 · (212) 679-4134 · Fax (212) 679-7079
Phone(212) 679-4134
Fax(212) 679-7079
Organization SubpartNo
Authorized OfficialIsabelle Ponge WilsonDoctor · (212) 679-4134
Enumeration DateApril 2, 2007
Last NPPES UpdateJanuary 3, 2013
✔ NPI 1396866281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in NY · 198244
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Also ListedDermatologyTaxonomy 207N00000X · License 198244 (NY)
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 198244 (NY)
50 PARK AVE, New York, NY 10016
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Other Identifiers 1

Medicare PINWEN721NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0973826

Isabelle Ponge Wilson MD PC · New York, NY
Active · expires Dec 26, 2026
CLIA Number33D0973826
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorDr. Isabelle Ponge Wilson
Laboratory Phone(212) 679-4134
Laboratory LocationIsabelle Ponge Wilson MD PC50 Park Avenue Suite 1H, New York, NY 10016
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MURRAY BRAVERMAN
Dentist
50 PARK AVE
NEW YORK, NY 10016
New York County (212) 679-2955
HUYEN T. NGUYEN MD
Dermatology
50 PARK AVE, SUITE 1H
NEW YORK, NY 10016
New York County (212) 679-4134
STAR PRODENT NY
Dentist (General Practice)
50 PARK AVE, SUITE 1G
NEW YORK, NY 10016
New York County (212) 213-6622
LESLIE MARINO MD
Psychiatry & Neurology (Psychiatry)
50 PARK AVE
NEW YORK, NY 10016
New York County (316) 502-7938
DR. DEIRDRE MARIE CONNOLLY M.D.
Dermatology
50 PARK AVE
NEW YORK, NY 10016
New York County (212) 679-4134
DR. JOHN ALBERT LUPOVICI DDS
Dentist (Periodontics)
50 PARK AVE, SUITE 1G
NEW YORK, NY 10016
New York County (212) 251-0030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Isabelle Ponge Wilson MD PC's NPI number?

The NPI number for Isabelle Ponge Wilson MD PC is 1396866281. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Isabelle Ponge Wilson MD PC located?

Isabelle Ponge Wilson MD PC is located at 50 Park Ave, New York, NY 10016. The listed phone number is (212) 679-4134.

What is Isabelle Ponge Wilson MD PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Does Isabelle Ponge Wilson MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0973826) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Isabelle Ponge Wilson MD PC was last updated on January 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.