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

Marc Mahoney Beuttler

Individual provider Dermatology Physician · NPI 1376030866

Marc Mahoney Beuttler is a Dermatology in New York, New York. Graduated from Louisiana State University School of Medicine in New Orleans in 2018, 8 years ago. Practices with Modern Dermatology PC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
8
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
CT
In the registry since
2018
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Practice location Address checks out

281 1st Ave
New York, NY 10003-2925
Phone: (805) 901-3317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 70675 (CT)

Record details

NPI number1376030866
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 19, 2018
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2018 (8 years in practice)
Group practice Modern Dermatology Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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