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PREMIER DERMATOLOGY
NPI 1033818208
Dermatology in New York, NY

Active since February 27, 2023CLIA 33D2278720 · Certificate of Compliance
110 E 40TH ST RM 703, NEW YORK, NY 10016(516) 945-9346(231) 216-7895 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 24, 2023, Feb 27, 2023 (2 updates tracked since 2023).

About Premier Dermatology NPPES

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

PREMIER DERMATOLOGY (NPI 1033818208) is a healthcare organization registered as a dermatology in New York, New York and active in the NPI registry since February 2023. The organization holds a CLIA Certificate of Compliance certificate valid through April 10, 2028 and lists Adam Nabatian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033818208
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAN DERMATOLOGY OF NEW YORK P C
Location Address110 E 40TH ST RM 703New York, NY 10016-1806
Mailing Address15 The PnesOld Westbury, NY 11568-1126 · (516) 945-9346 · Fax (231) 216-7895
Phone(516) 945-9346
Fax(231) 216-7895
Organization SubpartNo
Authorized OfficialAdam NabatianCeo · (516) 945-9346
Enumeration DateFebruary 27, 2023
Last NPPES UpdateMay 24, 20232 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1033818208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
110 E 40TH ST RM 703, New York, NY 10016
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Other Names 1

Doing Business AsPremier Dermatology

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)

Premier Dermatology 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 Premier Dermatology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adam Nabatian, M.D.
Dermatology
NPI 1548569437
445 E 58TH ST
New York, NY 10022
(212) 838-0270
✔ PECOS✔ Accepts Medicare1.1 mi

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 33D2278720

An Dermatology Of New York PC · New York, NY
Active · expires Apr 10, 2028
CLIA Number33D2278720
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorDr. Adam Nabatian
Laboratory Phone(212) 433-3788
Laboratory LocationAn Dermatology Of New York PC110 East 40th Street, #703, New York, NY 10016
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 An Dermatology Of New York P C's NPI number?

The NPI number for An Dermatology Of New York P C is 1033818208. It was assigned to this organization in the NPPES registry on February 27, 2023. The provider is doing business as Premier Dermatology.

Where is An Dermatology Of New York P C located?

An Dermatology Of New York P C is located at 110 E 40th St Rm 703, New York, NY 10016. The listed phone number is (516) 945-9346.

What is An Dermatology Of New York P C's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is An Dermatology Of New York P C enrolled in Medicare?

Yes. An Dermatology Of New York P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through An Dermatology Of New York P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to An Dermatology Of New York P C. 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 An Dermatology Of New York P C hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2278720) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for An Dermatology Of New York P C was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.