Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Henry Heaton, MD

Individual provider Dermatology Physician · NPI 1053798900

Dr. Henry Heaton, MD is a Dermatology in New York, New York. Graduated from State University of New York Downstate Medical Center in 2015, 11 years ago. Practices with Gangaram Ragi, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

214 Sullivan St
New York, NY 10012-1354
Phone: (212) 385-3700
Fax: (212) 385-3703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 303130 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 303130 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053798900
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2015
Last updated in NPPESJuly 14, 2020
Certification dateJuly 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2015 (11 years in practice)
Group practice Gangaram Ragi — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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