DERMSURGERYONE, PLLC (NPI# 1871921387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871921387 |
| Entity Type | Organization |
| Organization Name | DERMSURGERYONE, PLLC |
| Practice Address |
875 Old Country Rd Suite 300 Plainview NY 11803-4942 |
| Practice Telephone | 5164332424 |
| Practice Fax Number | 5164331065 |
| Mailing Telephone | 5164332424 |
| Mailing Fax Number | 5164331065 |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |
| Authorized Official Name | DR. DOMENICO VALENTE (OWNER) |
| Authorized Official Telephone | 5164332424 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DERMSURGERYONE, PLLC | 875 Old Country Road, Plainview, Ny 11803 |
| Street Address |
875 OLD COUNTRY RD SUITE 300 |
| City | PLAINVIEW |
| State | NY |
| Zip Code | 11803-4942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668446 | Jamie Stern | Otolaryngology | 875 Old Country Rd, Suite 200, Plainview, NY 11803-4942 | 2005-06-09 |
| 1508403080 | Plainview Podiatry Pllc | Podiatrist | 875 Old Country Rd, Plainview, NY 11803-4942 | 2019-12-04 |
| 1447805528 | Kayla Brianne Rizzi | Audiologist | 875 Old Country Rd, Plainview, NY 11803-4942 | 2019-08-06 |
| 1467921841 | Edward E. Yost, Md, PC | Anesthesiology | 875 Old Country Rd, Plainview, NY 11803-4942 | 2018-11-15 |
| 1730657602 | Janice Wright | Nurse Practitioner | 875 Old Country Rd, Plainview, NY 11803-4942 | 2018-11-08 |
| 1215369210 | North Coast Anesthesia LLC | Anesthesiology | 875 Old Country Rd, Plainview, NY 11803-4942 | 2013-08-01 |
| 1326309089 | James John Tsiakos | Internal Medicine | 875 Old Country Rd, Suite 102, Plainview, NY 11803-4942 | 2012-05-30 |
| 1003054065 | Harvey Finkelstein | Anesthesiology | 875 Old Country Rd, Suite Ll151, Plainview, NY 11803-4942 | 2009-01-29 |
| 1457512527 | George Washington Tiernan | Dentist | 875 Old Country Rd, Suite 101, Plainview, NY 11803-4942 | 2008-06-21 |
| 1003083494 | Lindsey Eileen D'ambra | Audiologist | 875 Old Country Rd, Suite 200, Plainview, NY 11803-4942 | 2008-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1649798240 | Audrey Demas | Early Intervention Provider Agency | 255 Executive Drive Suite Ll 105/108, Plainview, NY 11803 | 2017-09-03 |
| 1649798521 | Danielle J Walowitz | Specialist | 19 Pearl Drive, Plainview, NY 11803 | 2017-08-31 |
| 1437676178 | Jaclyn Heather Rosenblum | Speech-Language Pathologist | 2 Edgewood Gate, Plainview, NY 11803 | 2017-08-24 |
| 1548784531 | Giselle Cortez | Registered Nurse | 53 Belmont Avenue, Plainview, NY 11803 | 2017-08-01 |
| 1528500808 | Michelle Tamarez | Nurse Practitioner | 131 E. Ames Ct, Plainview, NEW YORK 11803 | 2016-11-17 |
| 1649656646 | Marjorie Elise Tirsun | Specialist | 10 Crestwood Drive, Plainview, NY 11803 | 2015-08-03 |
| 1295110872 | Elizabeth Scisci | Dentist | 146a Manetto Hill Rd Ste 100, Plainview, NY 11803 | 2015-07-24 |
| 1114332905 | Alberto Roman Cabezas | Internal Medicine | Sanchez, Curridabat, SAN JOSE 11803 | 2014-06-30 |
| 1568883148 | Chiropractic Doc Spine, PC | Chiropractor | 42 Ruby Ln, Plainview, NY 11803 | 2013-12-26 |
| Find all providers in zip 11803 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689781478 | Domenico Valente | Dermatology | 875 Old Country Rd, Plainview, NY 11803-4942 | 2006-08-25 |
| 1972610707 | Dermatology Laser and Plastic Surgery, L.l.p. | Dermatology | 875 Old Country Rd, Suite 300, Plainview, NY 11803-4942 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598225260 | Dermatology Laser and Surgery of Carnegie Hill Pllc | Dermatology | 1095 Park Ave Ste 1a, New York, NY 10128-1154 | 2019-03-20 |
| 1245651827 | Complete Skin & Laser Surgery PC | Dermatology | 225 E 64th St Fl 2, New York, NY 10065-6690 | 2013-12-26 |
| 1598043432 | Marmur Dermatology and Cardiology, Pllc | Dermatology | 12 E 87th St Suite 1a, New York, NY 10128-0501 | 2011-07-26 |
| 1427343391 | Skin Cancer and Aesthetic Surgery, P.C. | Dermatology | 2727 Ocean Pkwy, Suite L1, Brooklyn, NY 11235-7857 | 2011-06-18 |
| 1174814735 | Reason Wilken | Dermatology | 1991 Marcus Ave Ste 300, North New Hyde Park, NY 11042-2058 | 2011-04-29 |
| 1760658033 | Advanced Dermatology PC | Dermatology | 165 Roslyn Rd, Roslyn Heights, NY 11577-1315 | 2008-05-06 |
| 1255535993 | Weill Medical College of Cornell University | Dermatology | 1305 York Ave., 9th Floor, New York, NY 10021-4870 | 2007-06-14 |
| 1336291657 | Michael Jonathan Albom | Dermatology | 33 E 70th St, 1f, New York, NY 10021-4941 | 2007-01-17 |
| 1386719425 | Ronald R Brancaccio Md & Peter Saitta Do PC | Dermatology | 7901 4th Avenue, Apt A20, Brooklyn, NY 11209-3957 | 2006-11-22 |
| 1255415113 | The Center for Dermatologic Surgery of Monroe | Dermatology | 503 State Route 208, Monroe, NY 10950-1619 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DERMSURGERYONE, PLLC.
| 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.