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ADVANCED DERMATOLOGY PC
NPI 1043486319
Dermatology in West Islip, NY

Active since May 06, 2008CLIA 33D1008584 · Certificate of Compliance
510 MONTAUK HWY, WEST ISLIP, NY 11795(631) 587-1132(631) 422-4922 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Dermatology Pc NPPES

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

ADVANCED DERMATOLOGY PC (NPI 1043486319) is a healthcare organization registered as a dermatology in West Islip, New York and active in the NPI registry since May 2008. The organization holds a CLIA Certificate of Compliance certificate valid through May 14, 2027 and lists Lewis Lippner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043486319
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY PC
Location Address510 MONTAUK HWYWest Islip, NY 11795-4422
Mailing Address6 Lowell AveNew Hyde Park, NY 11040-2810 · (516) 326-4160 · Fax (516) 437-0482
Phone(631) 587-1132
Fax(631) 422-4922
Organization SubpartNo
Authorized OfficialLewis LippnerAdministrator · (516) 326-4160
Enumeration DateMay 6, 2008
✔ NPI 1043486319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedPlastic SurgeryTaxonomy 208200000X
510 MONTAUK HWY, West Islip, NY 11795
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Other Identifiers 1

Medicare PINWQ0981NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 33D1008584

Advanced Dermatology PC · West Islip, NY
Active · expires May 14, 2027
CLIA Number33D1008584
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorDr. Aza Lefkowitz
Laboratory Phone(631) 587-1132
Laboratory LocationAdvanced Dermatology PC510 Montauk Highway, Suite A, West Islip, NY 11795
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

DR. MOLAVE AGANA ADANIEL M.D.
Surgery
510 MONTAUK HWY, SUITE C
WEST ISLIP, NY 11795
Suffolk County (631) 587-1451
WEST ISLIP MEDICAL CARE
Internal Medicine
510 MONTAUK HWY, STE D
WEST ISLIP, NY 11795
Suffolk County (631) 587-7474
DR. ANNA GORSKI-PIASZCZYK MD
Internal Medicine
510 MONTAUK HWY, SUITE D
WEST ISLIP, NY 11795
Suffolk County (631) 587-7474
DERMATOLOGIC PROCEDURES OF SUFFOLK COUNTY
Specialist
510 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (516) 625-6222

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 Advanced Dermatology PC's NPI number?

The NPI number for Advanced Dermatology PC is 1043486319. It was assigned to this organization in the NPPES registry on May 6, 2008.

Where is Advanced Dermatology PC located?

Advanced Dermatology PC is located at 510 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 587-1132.

What is Advanced Dermatology PC's specialty?

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

Does Advanced Dermatology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D1008584) is associated with this NPI, valid through May 14, 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 Advanced Dermatology PC was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.