1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Dermatology
  6. NPI Profile

DR. DEBRA JOY WATTENBERG M.D.
NPI 1437191236
Dermatology - Procedural Dermatology in New York, NY

Active since June 13, 2006CLIA 33D2198638 · Waiver
875 5TH AVE, NEW YORK, NY 10021(212) 288-3200 Get Directions Write a Review

NPPES record last updated: December 4, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Debra Joy Wattenberg M.d. NPPES

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

DR. DEBRA JOY WATTENBERG M.D. (NPI 1437191236) is an individual procedural dermatology provider in New York, New York, licensed in New York (178869) and active in the NPI registry since June 2006. She holds a CLIA Waiver certificate valid through November 2, 2026.

NPPES Registry Identity

NPI1437191236
Entity TypeIndividualFemale
Primary Taxonomy207NS0135X
Provider Legal NameDR. DEBRA JOY WATTENBERGCredential: M.D.
Location Address875 5TH AVENew York, NY 10021-4952
Mailing Address875 5th AveNew York, NY 10065-4952 · (212) 288-3200 · Fax (212) 288-3226
Phone(212) 288-3200
Sole ProprietorYes
Enumeration DateJune 13, 2006
Last NPPES UpdateDecember 4, 2009
✔ NPI 1437191236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in NY · 178869
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).
875 5TH AVE, New York, NY 10021
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified29K882NY
Medicare UPINF21228NY

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 Waiver 33D2198638

Debra Wattenberg MD PC · New York, NY
Active · expires Nov 2, 2026
CLIA Number33D2198638
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorDr. Debra J. Wattenberg
Laboratory Phone(212) 288-3200
Laboratory LocationDebra Wattenberg MD PC875 Fifth Avenue, New York, NY 10065
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Debra Wattenberg's NPI number?

The NPI number for Debra Wattenberg is 1437191236. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Debra Wattenberg located?

Debra Wattenberg practices at 875 5th Ave, New York, NY 10021. The listed phone number is (212) 288-3200.

What is Debra Wattenberg's specialty?

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

Does Debra Wattenberg hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2198638) is associated with this NPI, valid through November 2, 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 Debra Wattenberg was last updated on December 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.