AESTHETIC DERMATOLOGY, LLC (NPI# 1821125956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821125956 |
| Entity Type | Organization |
| Organization Name | AESTHETIC DERMATOLOGY, LLC |
| Other Organization Name | CENTER FOR AESTHETIC DERMATOLOGY |
| Practice Address |
800 Woodbury Rd Ste A Woodbury NY 11797-2503 |
| Mailing Address |
800 Woodbury Rd Woodbury NY 11797-2503 |
| Practice Telephone | 5164969400 |
| Practice Fax Number | 5164969212 |
| Mailing Telephone | 5164963400 |
| Mailing Fax Number | 5164969212 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | DR. JEFFREY SKLAR (OWNER) |
| Authorized Official Telephone | 5164969400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center for Aesthetic Dermatology | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750449104 | Aesthetic Dermatology, LLC | Dermatology | 771 E Route 70, Suite D150, Marlton, NJ 08053-2352 | 2006-12-05 |
| Street Address |
800 WOODBURY RD STE A |
| City | WOODBURY |
| State | NY |
| Zip Code | 11797-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
| 1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
| 1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
| 1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
| 1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
| 1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
| Find all providers in zip 11797 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194834796 | Lori Randol Arnesen | Dermatology | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55125-4451 | 2006-08-29 |
| 1669585089 | Howard P Horlick | Dermatology | 169 Froehlich Farm Blvd, Woodbury, NY 11797 | 2006-08-17 |
| 1699749713 | Eve Lupenko | Dermatology | 160 Crossways Park Dr, Woodbury, NY 11797 | 2006-02-15 |
| 1235111436 | Grace U Chung | Dermatology | 17 W. Red Bank Ave, Suite 205, Woodbury, NJ 08096 | 2005-11-15 |
| 1689181562 | Greenberg Medical Services PC | Dermatology | 160 Crossways Park Dr, Woodbury, NY 11797-2028 | 2018-01-02 |
| 1861784837 | Lydia Ioanna Turnbull | Dermatology | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55125-4451 | 2011-05-10 |
| 1982865317 | Jeremy William Cook | Dermatology | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55125-4451 | 2008-06-18 |
| 1659548626 | Juan P Jaimes | Dermatology | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55125-4451 | 2008-05-09 |
| 1255432621 | Grace U Chung Md PC | Dermatology | 17 W Red Bank Ave, Suite 205, Woodbury, NJ 08096-1630 | 2006-09-26 |
| 1861464679 | Douglas Jason Melman | Dermatology | 800 Woodbury Rd, Ste A, Woodbury, NY 11797-2503 | 2006-02-06 |
| Find all providers in WOODBURY | ||||
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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.