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

NPI Status: Active since April 06, 2017

Contact Information

2955 VETERANS RD W STE 2F
STATEN ISLAND, NY
ZIP 10309
Phone: (929) 200-3003
Fax: (929) 224-0696

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  • Organization
  • Dermatology
  • Procedural Dermatology
  • CLIA Number: 33D2198342
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-18-2027

About BRIDGEVIEW DERMATOLOGY, PLLC

This page provides the complete NPI Profile along with additional information for Bridgeview Dermatology, Pllc, a provider established in Staten Island, New York operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1003349986 assigned on April 2017. The practitioner's primary taxonomy code is 207NS0135X with license number 282042-1 (NY). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Tejas Patel Md (President)

NPI
1003349986
Provider Name
BRIDGEVIEW DERMATOLOGY, PLLC
Entity Type
Organization
Location Address
2955 VETERANS RD W STE 2F STATEN ISLAND, NY 10309
Location Phone
(929) 200-3003
Location Fax
(929) 224-0696
Mailing Address
2955 VETERANS RD W STE 2F STATEN ISLAND, NY 10309
Mailing Phone
(929) 200-3003
Mailing Fax
(929) 224-0696
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2017
Last Update Date
08-28-2025
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Location Map

Secondary Locations

  • 1509 Central Ave
    Far Rockaway, NY 11691
    (929) 200-3003
  • 70 Father Capodanno Blvd
    Staten Island, NY 10305
    (929) 200-3003
  • 1041 E 83rd St Unit 2F
    Brooklyn, NY 11236
    (929) 200-3003
  • 8008 45th Ave Unit 2F
    Elmhurst, NY 11373
    (929) 200-3003
  • 3010 W 33rd St
    Brooklyn, NY 11224
    (929) 200-3003
  • 1800 Waring Ave
    Bronx, NY 10469
    (929) 200-3003
  • 11502 Ocean Promenade
    Rockaway Park, NY 11694
    (929) 200-3003
  • 799 E Gun Hill Rd
    Bronx, NY 10467
    (929) 200-3003
  • 6355 Broadway
    Bronx, NY 10471
    (929) 200-3003
  • 110 Henderson Ave
    Staten Island, NY 10301
    (929) 200-3003
  • 143 E Main St
    Babylon, NY 11702
    (929) 200-3003
  • 130 Lake Ave S
    Nesconset, NY 11767
    (929) 200-3003
  • 211 Lake Shore Rd
    Lake Ronkonkoma, NY 11779
    (929) 200-3003
  • 1740 Express Dr S
    Hauppauge, NY 11788
    (929) 200-3003
  • 14040 Sanford Ave
    Flushing, NY 11355
    (929) 200-3003
  • 431 Beach 20th St
    Far Rockaway, NY 11691
    (929) 200-3003
  • 1526 New Haven Ave
    Far Rockaway, NY 11691
    (929) 200-3003
  • 1350 Route 112
    Port Jefferson Station, NY 11776
    (929) 200-3003

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology Procedural Dermatology

Taxonomy Code
207NS0135X
Type
Allopathic & Osteopathic Physicians
License No.
282042-1
License State
NY
Taxonomy Description
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).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ND0101XAllopathic & Osteopathic Physicians

Dermatology
MOHS-Micrographic Surgery

282042- (NY)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TEJAS PATEL MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(929) 200-3003

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2198342
Facility Type
Physician Office
Certificate Effective Date
November 19, 2025
Certificate Expiration Date
November 18, 2027
Laboratory Director
DR. TEJAS B. PATEL
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Bridgeview Dermatology, Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003349986, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 6 + 4 + 1 + 8 + 9 + 1 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1003349986.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Multi-Specialty)
2955 VETERANS RD W STE 2F
STATEN ISLAND, NY 10309
Dermatology
2955 VETERANS RD W STE 2F
STATEN ISLAND, NY 10309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003349986, enumerated as an "organization" on April 06, 2017.

The provider is located at 2955 VETERANS RD W STE 2F STATEN ISLAND, NY 10309 and the phone number is (929) 200-3003.

Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.