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NPI · 1083610521 · NPPES-sourced

Advanced Dermatology Of New York PC

ActiveDermatology
NPI Number
1083610521
Type 2 · Organisation
Taxonomy Code
207N00000X
Contact
(212) 262-2500
Primary practice line
Last Updated
Enumerated
Primary practice addressNY · 10019-1449
200 Central Park S, Ste 107New York, NY 10019-1449
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About this NPIWhat this record shows.

NPI 1083610521 is registered to Advanced Dermatology Of New York PC, a healthcare organisation classified as "Dermatology" and located at 200 Central Park S, Ste 107 in New York, New York. The organisation's authorised official is Lawrence Jaeger. The organisation has been enumerated in the NPI registry since 2005.

Provider type
Organisation (Type 2)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

This record carries 1 secondary identifier beyond the base NPI: Medicaid and other payer cross-references used by billers and credentialers, which the standard CMS NPPES lookup does not surface. It is enrolled in Medicare, linking to 1 PECOS enrollment record (with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 1,697 Dermatology providers on file in New York.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 108361052· Issued by NPI

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Advanced Dermatology Of New York PC accepts. To confirm in-network status with your specific health plan, contact Advanced Dermatology Of New York PC directly at (212) 262-2500.

Frequently asked

Yes. NPI 1083610521 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatology is a medical specialty focused on conditions affecting the skin, hair, and nails, including acne, eczema, psoriasis, skin cancer screenings, and cosmetic procedures.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (212) 262-2500.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Advanced Dermatology Of New York PC is a Type-2 organisational NPI.

As of the latest monthly CMS NPPES snapshot, 1,697 Dermatology providers are registered in New York, and Advanced Dermatology Of New York PC is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeOrganisation
Taxonomy207N00000X
Last updated
Enumerated
StatusActive
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Same specialtyOther Dermatology providers in New York.

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