Active NPIOrganization

Advanced Dermatology Of New York PC

Dermatology in Bronx, New York

NPI Number1518964923
Practice location
2100 Bartow Ave, Ste 211, Bronx, NY 10475-4614
Fax
212-246-0890
Last updated
July 21, 2022

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 1518964923. The current practice location address for Advanced Dermatology Of New York PC is 2100 Bartow Ave, Ste 211, Bronx, NY 10475-4614 and can be reached out via phone at 718-865-0515 and via fax at 212-246-0890.

Provider Profile Details

NPI Number
1518964923
Provider Name
Advanced Dermatology Of New York PC
Provider Entity Type
Organization
Address
2100 Bartow Ave, Ste 211, Bronx, NY 10475-4614
Phone Number
718-865-0515
Fax Number
212-246-0890
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Mr. Lawrence D Jaeger, DO · Officer · 212-262-2500
Other Names
Advanced Dermatology Associates (Doing Business As)
Provider Enumeration Date
June 30, 2005
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2100 Bartow Ave
Ste 211
Bronx, NY 10475-4614
City
Bronx
Zip
10475-4614
Phone Number
718-865-0515
Fax Number
212-246-0890
Bronx, NY 10475Get directions →

Provider Business Mailing Address Details

Address
200 Central Park South
Ste 107
New York, NY 10019
City
New York
State
NY
Zip
10019
Phone Number
212-262-2500
Fax Number
212-246-0890

License Information

License State
NY
Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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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 1518964923. It was assigned on June 30, 2005 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 2100 Bartow Ave, Ste 211, Bronx, NY 10475-4614. The office can be reached at 718-865-0515 (phone) or 212-246-0890 (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 1518964923 directly on the NPPES registry website.

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