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MARNIE NUSSBAUM DERMATOLOGY
NPI 1003354531
Clinic/Center - Medical Specialty in New York, NY

Active since February 03, 2017
630 PARK AVE, NEW YORK, NY 10065(212) 220-0776(212) 214-0581 Get Directions Write a Review

NPPES record last updated: February 3, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marnie Nussbaum Dermatology NPPES

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

MARNIE NUSSBAUM DERMATOLOGY (NPI 1003354531) is a healthcare organization registered as a medical specialty in New York, New York and active in the NPI registry since February 2017. The organization lists Shanalee Ackerman, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1003354531
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePLASTIC SURGERY AND SKINCARE, PLLC
Location Address630 PARK AVENew York, NY 10065-6560
Mailing Address630 Park AveNew York, NY 10065-6560 · (212) 220-0776 · Fax (212) 214-0581
Phone(212) 220-0776
Fax(212) 214-0581
Organization SubpartNo
Authorized OfficialShanalee AckermanPractice Manager · (425) 503-1706
Enumeration DateFebruary 3, 2017
✔ NPI 1003354531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NY · 250439
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

630 PARK AVE, New York, NY 10065
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Other Names 1

Doing Business AsMarnie Nussbaum Dermatology

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID J FRIEDMAN MD
Surgery (Plastic and Reconstructive Surgery)
630 PARK AVE
NEW YORK, NY 10065
New York County (212) 439-1600
DANIEL KATZ M.D.
Internal Medicine
630 PARK AVE
NEW YORK, NY 10065
New York County (631) 996-2489

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 Plastic Surgery And Skincare, PLLC's NPI number?

The NPI number for Plastic Surgery And Skincare, PLLC is 1003354531. It was assigned to this organization in the NPPES registry on February 3, 2017.

Where is Plastic Surgery And Skincare, PLLC located?

Plastic Surgery And Skincare, PLLC is located at 630 Park Ave, New York, NY 10065. The listed phone number is (212) 220-0776.

What is Plastic Surgery And Skincare, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Plastic Surgery And Skincare, PLLC was last updated on February 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.