- Practice location
- 291 E 149TH St, Bronx, NY 10451-5601
- Phone
- 718-742-1000
- Fax
- 212-765-3210
- Last updated
- December 10, 2014
Advanced Dermatology Of New York PC is a healthcare organization based in Bronx, NY. Advanced Dermatology Of New York PC practices in Bronx, NY. The NPI Number for Advanced Dermatology Of New York PC is 1508048240. The current practice location address for Advanced Dermatology Of New York PC is 291 E 149TH St, Bronx, NY 10451-5601 and can be reached out via phone at 718-742-1000 and via fax at 212-765-3210.
Provider Profile Details
- NPI Number
- 1508048240
- Provider Name
- Advanced Dermatology Of New York PC
- Provider Entity Type
- Organization
- Address
- 291 E 149TH St, Bronx, NY 10451-5601
- Phone Number
- 718-742-1000
- Fax Number
- 212-765-3210
- Primary Taxonomy
- Dermatology · 207N00000X
- Organization Subpart
- No
- Authorized Official
- Lawrence D Jaeger, DO · Officer · 212-262-2500
- Other Names
- Advanced Dermatology Associates (Doing Business As)
- Provider Enumeration Date
- December 5, 2007
- Last Update Date
- December 10, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 291 E 149TH St
Bronx, NY 10451-5601 - City
- Bronx
- State
- New York
- Zip
- 10451-5601
- Phone Number
- 718-742-1000
- Fax Number
- 212-765-3210
Provider Business Mailing Address Details
- Address
- 200 Central Park S
Suite 107
New York, NY 10019-1436 - City
- New York
- State
- NY
- Zip
- 10019-1436
- Phone Number
- 212-262-2500
- Fax Number
- 212-765-3210
License Information
- Taxonomy
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Bronx, NY
View all Dermatology providers in Bronx →- 1091 Southern Blvd Dermatology PLLCDermatology · NPI 1154004133
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- Bronx DermatologyDermatology · NPI 1699955013
- Carson T Kirkpatrick, MDDermatology · NPI 1073141511
- Cassandra E Venable, MDDermatology · NPI 1881775203
Frequently Asked Questions
What is the NPI number of Advanced Dermatology Of New York PC?
The NPI number of Advanced Dermatology Of New York PC is 1508048240. It was assigned on December 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Advanced Dermatology Of New York PC?
Advanced Dermatology Of New York PC is registered under the primary taxonomy Dermatology (code 207N00000X).
Where does Advanced Dermatology Of New York PC practice?
The practice location is 291 E 149TH St, Bronx, NY 10451-5601. The office can be reached at 718-742-1000 (phone) or 212-765-3210 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508048240 directly on the NPPES registry website.