ADVANCED DERMATOLOGY OF NEW YORK PC


Address: 1-3 West 125th Street, New York, NY 10027
Phone: 2122466800

ADVANCED DERMATOLOGY OF NEW YORK PC (NPI# 1588214357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588214357
Entity Type Organization
Organization Name ADVANCED DERMATOLOGY OF NEW YORK PC
Practice Address 1-3 West 125th Street
New York
NY 10027
Mailing Address 200 Central Park S Apt 107
New York
NY 10019-1449
Practice Telephone 2122466800
Practice Fax Number 2127653210
Mailing Telephone 2122622500
Mailing Fax Number 2127653210
Enumeration Date 2019-09-13
Last Update Date 2019-09-13
Authorized Official Name NICOLE MAULELLA (COO)
Authorized Official Telephone 2122622500
Is Organization Subpart Y
Parent Organization Name ADVANCED DERMATOLOGY OF NEW YORK PC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Advanced Dermatology Associates Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1386078236 Advanced Dermatology of New York PC Specialist 200 Central Park S, Suite 107, New York, NY 10019-1436 2013-08-28

Office Location

Street Address 1-3 WEST 125TH STREET
City NEW YORK
State NY
Zip Code 10027

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023616356 Nathan Light Dentist M Dental Care PC, 337 Lenox Ave, New York, NY 10027 2020-10-09
1720691199 Mohamad El Zein Student in an Organized Health Care Education/Training Program 281 West 132nd Street, App Nb 2, New York, NY 10027 2020-08-26
1194335893 Cynthia Wiggins Social Worker 1255 Amsterdam Avenue, New York, NY 10027 2020-08-06
1497399877 Dr. F Sanchez Dental Arts Pllc Dentist 2 Saint Nicholas Terrace, Store #1, New York, NY 10027 2019-10-29
1396216818 Gissel Lopez Licensed Practical Nurse 119west 124th Street, New York, NY 10027 2018-12-10
1831660620 Katherine Gonzalez Licensed Practical Nurse 119 121 W 124th Street, New York, NY 10027 2018-12-06
1003383456 Ebony S Prescott Specialist 2130 Adam Clayton Powell Blvd, Phenix Salon Suites, Suite #114, Ny, NY 10027 2018-10-24
1619456589 Arts of Optics Corp. Optometrist 200 W 125th St, New York, NY 10027 2018-08-10
1205355658 Frederick Community Pharmacy Inc Pharmacy 2450 Frederick Douglas Blvd, New York, NY 10027 2017-09-18
1396262150 Rosanna Rodriguez Social Worker 2090 Adam Clayton Powell Jr. Blvd, New York, NY 10027 2017-08-23
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225636384 Markowitz Medical Pllc Dermatology 1150 5th Ave # Suire1a, New York, NY 10128-0724 2020-10-12
1114545985 Tarek Yamany Md Pllc Dermatology 229 W 60th St Apt 8e, New York, NY 10023-7507 2020-07-08
1952924839 Elizabeth Jessica Ranelli Dermatology 16 W 17th St, New York, NY 10011-5738 2020-05-26
1235776485 Libby Rhee Do Dermatology Pllc Dermatology 110 E 60th St # 800, New York, NY 10022-1688 2019-12-06
1831751379 Jessica Weiser, M.d., Pllc Dermatology 155 Spring St Fl 5, New York, NY 10012-5208 2019-07-05
1700341617 Db Dermatology Pllc Dermatology 483 10th Avenue, Suite 310, New York, NY 10018-9737 2019-02-05
1912483520 Ofer Reiter Agar Dermatology 1233 York Ave Apt 19i, New York, NY 10065-6342 2018-07-17
1336634096 Es Dermatology, Pllc Dermatology 110 E 55th St Fl 11, New York, NY 10022-4551 2018-06-26
1073024626 Jennifer Geiger, Md, Pllc Dermatology 20 E 46th St Rm 1302, New York, NY 10017-9245 2017-10-22
1952810343 Salvatore Anthony Lipuma Dermatology 928 Broadway Ste 301, New York, NY 10010-8156 2017-09-28
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City NEW YORK
Zip Code 10027

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Dataset Information

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.

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