PURA DERMATOLOGY, LLC
NPI 1023442720
Dermatology - Dermatopathology in New York, NY

Active since August 29, 2013
446 W 38TH ST, NEW YORK, NY 10018(212) 683-8306(646) 395-1683 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pura Dermatology, Llc NPPES

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

PURA DERMATOLOGY, LLC (NPI 1023442720) is a healthcare organization registered as a dermatopathology in New York, New York and active in the NPI registry since August 2013. The organization lists Saurabh Lodha, Owner, as its authorized official.

NPPES Registry Identity

NPI1023442720
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NamePIONEER DERMATOLOGY, LLC
Location Address446 W 38TH STNew York, NY 10018-2835
Mailing Address446 W 38th StNew York, NY 10018-2835 · (212) 683-8306 · Fax (646) 395-1683
Fax(646) 395-1683
Organization SubpartNo
Authorized OfficialSaurabh LodhaOwner · (212) 683-8306
Enumeration DateAugust 29, 2013
Last NPPES UpdateSeptember 5, 2013
✔ NPI 1023442720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License✔ Licensed in NY · 264404
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
446 W 38TH ST, New York, NY 10018

Other Names 1

Doing Business AsPura Dermatology, Llc

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 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)

Pura Dermatology, Llc 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 Pura Dermatology, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1083925051
446 W 38TH ST
New York, NY 10018
(212) 683-8306
✔ 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.

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 Pioneer Dermatology, LLC's NPI number?

The NPI number for Pioneer Dermatology, LLC is 1023442720. It was assigned to this organization in the NPPES registry on August 29, 2013. The provider is doing business as Pura Dermatology, LLC.

Where is Pioneer Dermatology, LLC located?

Pioneer Dermatology, LLC is located at 446 W 38th St, New York, NY 10018. The listed phone number is (212) 683-8306.

What is Pioneer Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Pioneer Dermatology, LLC enrolled in Medicare?

Yes. Pioneer Dermatology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pioneer Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Pioneer Dermatology, LLC. 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.

When was this NPI record last updated?

The NPPES record for Pioneer Dermatology, LLC was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.