ADVANCED DERMATOLOGY OF NEW YORK PC (NPI# 1386078236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386078236 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY OF NEW YORK PC |
| Other Organization Name | ADVANCED DERMATOLOGY ASSOCIATES |
| Practice Address |
200 Central Park S Suite 107 New York NY 10019-1436 |
| Practice Telephone | 2122622500 |
| Practice Fax Number | 2127653210 |
| Mailing Telephone | 2122622500 |
| Mailing Fax Number | 2127653210 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | DR. LAWRENCE JAEGER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2122622500 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Advanced Dermatology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1508048240 | Advanced Dermatology of New York PC | Dermatology | 291 E 149th St, Bronx, NY 10451-5601 | 2007-12-05 |
| 1518964923 | Advanced Dermatology of New York PC | Dermatology | 2100 Bartow Ave, Ste 211, Bronx, NY 10475-4614 | 2005-06-30 |
| 1083610521 | Advanced Dermatology of New York PC | Dermatology | 200 Central Park S, Ste 107, New York, NY 10019-1449 | 2005-06-21 |
| Street Address |
200 CENTRAL PARK S SUITE 107 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083610521 | Advanced Dermatology of New York PC | Dermatology | 200 Central Park S, Ste 107, New York, NY 10019-1449 | 2005-06-21 |
| 1174062491 | Matthew Hislop | Physician Assistant | 200 Central Park S, Suite 107, New York, NY 10019-1436 | 2017-02-20 |
| 1871910117 | Rudolph Robert Kasni Jr. | Dentist | 200 Central Park S, Suite 201, New York, NY 10019-1436 | 2014-03-25 |
| 1497020614 | Robin R. Blum M.d., PC | Dermatology | 200 Central Park S, Suite 108, New York, NY 10019-1436 | 2012-03-21 |
| 1023328986 | Harry Strulovici | Plastic Surgery | 200 Central Park S, Suite # 16a, New York, NY 10019-1436 | 2010-10-13 |
| 1821304023 | Spiro Konstantino Balaouras | Dentist | 200 Central Park S, Suite #206, New York, NY 10019-1436 | 2010-08-25 |
| 1467783464 | Cristian Jager | Dentist | 200 Central Park S, Suite 214, New York, NY 10019-1436 | 2010-01-15 |
| 1306088505 | David J. Zegarelli D.d.s. Pllc | Dentist | 200 Central Park S, Suite 105, New York, NY 10019-1436 | 2009-04-02 |
| 1033358494 | Robert I. Schwartz | Dentist | 200 Central Park S, Suite 212, New York, NY 10019-1436 | 2009-02-09 |
| 1528210945 | Eden W Wofsey | Dentist | 200 Central Park S, Suite 211, New York, NY 10019-1436 | 2008-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148652 | Gloria Li | Specialist | 959 1st Ave, New York, NY 10022-6649 | 2020-09-11 |
| 1700495041 | Ana Rosa Perez | Specialist | 318 E 116th St, New York, NY 10029-1506 | 2020-07-22 |
| 1659995801 | Theodore Nathan Raosen | Specialist | 128 Pinehurst Ave Apt B61, New York, NY 10033-1755 | 2020-06-03 |
| 1255954301 | Courtney Foster | Specialist | 222 E 34th St # 13, New York, NY 10016-4842 | 2020-05-23 |
| 1396371852 | Laquanique Louise Lake | Specialist | 116west 32nd Street, New York, NY 10001-3212 | 2020-03-17 |
| 1205460524 | Yasmin El-hifnawi Cooper | Specialist | 2572 Frederick Douglass Blvd Unit B, New York, NY 10030-2106 | 2020-02-25 |
| 1376175992 | Patricia Ann Ebert | Specialist | 310 E 102nd St Apt 9d, New York, NY 10029-5607 | 2020-02-11 |
| 1912547928 | Roberto Manuel Gonzalez | Specialist | 250 W 108th St, New York, NY 10025-2956 | 2020-01-08 |
| 1659918639 | Delores Cody Oppecker | Specialist | 455 Fort Washington Ave Apt 53, New York, NY 10033-4631 | 2019-12-09 |
| 1174160543 | Jazmin Bernal | Specialist | 765 Riverside Dr, 3n, New York, NY 10032 | 2019-12-04 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.