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BRIDGEVIEW DERMATOLOGY, PLLC
NPI 1003349986
Dermatology - Procedural Dermatology in Staten Island, NY

Active since April 06, 2017CLIA 33D2198342 · Certificate of Compliance
2955 VETERANS RD W STE 2F, STATEN ISLAND, NY 10309(929) 200-3003(929) 224-0696 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bridgeview Dermatology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGEVIEW DERMATOLOGY, PLLC (NPI 1003349986) is a healthcare organization registered as a procedural dermatology in Staten Island, New York and active in the NPI registry since April 2017. The organization holds a CLIA Certificate of Compliance certificate valid through November 18, 2027, maintains 18 additional practice locations, and lists Tejas Patel, President, as its authorized official.

NPPES Registry Identity

NPI1003349986
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameBRIDGEVIEW DERMATOLOGY, PLLC
Location Address2955 VETERANS RD W STE 2FStaten Island, NY 10309-2504
Mailing Address2955 Veterans Rd W Ste 2fStaten Island, NY 10309-2504 · (929) 200-3003 · Fax (929) 224-0696
Phone(929) 200-3003
Fax(929) 224-0696
Organization SubpartNo
Authorized OfficialTejas PatelPresident · (929) 200-3003
Enumeration DateApril 6, 2017
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1003349986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in NY · 282042-1
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 282042- (NY)
2955 VETERANS RD W STE 2F, Staten Island, NY 10309
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Secondary Practice Locations 18

Location 11041 E 83rd St Unit 2FBrooklyn, NY 11236-4225 · Phone (929) 200-3003
Location 2431 Beach 20th StFar Rockaway, NY 11691-3621 · Phone (929) 200-3003
Location 314040 Sanford AveFlushing, NY 11355-2556 · Phone (929) 200-3003
Location 41740 Express Dr SHauppauge, NY 11788-5302 · Phone (929) 200-3003
Location 5211 Lake Shore RdLake Ronkonkoma, NY 11779-3192 · Phone (929) 200-3003
Location 61526 New Haven AveFar Rockaway, NY 11691-5148 · Phone (929) 200-3003
Location 7110 Henderson AveStaten Island, NY 10301-2108 · Phone (929) 200-3003
Location 8130 Lake Ave SNesconset, NY 11767-1001 · Phone (929) 200-3003
Location 9143 E Main StBabylon, NY 11702-3524 · Phone (929) 200-3003
Location 101509 Central AveFar Rockaway, NY 11691-4001 · Phone (929) 200-3003
Location 1170 Father Capodanno BlvdStaten Island, NY 10305-4803 · Phone (929) 200-3003
Location 121350 Route 112Port Jefferson Station, NY 11776-3078 · Phone (929) 200-3003
Location 138008 45th Ave Unit 2FElmhurst, NY 11373-3545 · Phone (929) 200-3003
Location 143010 W 33rd StBrooklyn, NY 11224-1404 · Phone (929) 200-3003
Location 151800 Waring AveBronx, NY 10469-6331 · Phone (929) 200-3003
Location 1611502 Ocean PromenadeRockaway Park, NY 11694-2412 · Phone (929) 200-3003
Location 17799 E Gun Hill RdBronx, NY 10467-6107 · Phone (929) 200-3003
Location 186355 BroadwayBronx, NY 10471-2701 · Phone (929) 200-3003

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridgeview Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bridgeview Dermatology, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tejas Patel, M.D.
Dermatology
NPI 1497041776
2955 VETERANS RD W STE 2F
Staten Island, NY 10309
(929) 200-3003
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D2198342

Bridgeview Dermatology Dba Reforoma · Staten Island, NY
Active · expires Nov 18, 2027
CLIA Number33D2198342
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorDr. Tejas B. Patel
Laboratory Phone(292) 200-3003
Laboratory LocationBridgeview Dermatology Dba Reforoma2955 Veterans Road West 2nd Floor, Staten Island, NY 10309
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridgeview Dermatology, PLLC's NPI number?

The NPI number for Bridgeview Dermatology, PLLC is 1003349986. It was assigned to this organization in the NPPES registry on April 6, 2017.

Where is Bridgeview Dermatology, PLLC located?

Bridgeview Dermatology, PLLC is located at 2955 Veterans Rd W Ste 2F, Staten Island, NY 10309. The listed phone number is (929) 200-3003.

What is Bridgeview Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Bridgeview Dermatology, PLLC enrolled in Medicare?

Yes. Bridgeview Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bridgeview Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Bridgeview Dermatology, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bridgeview Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2198342) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bridgeview Dermatology, PLLC was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.