CLOUDLAKE DERMATOLOGY PLLC
NPI 1083164354
Dermatology in Jericho, NY
About Cloudlake Dermatology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLOUDLAKE DERMATOLOGY PLLC (NPI 1083164354) is a healthcare organization registered as a dermatology in Jericho, New York and active in the NPI registry since October 2016. The organization lists Sarika Banker, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cloudlake Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Cloudlake Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Cloudlake Dermatology PLLC's NPI number?
The NPI number for Cloudlake Dermatology PLLC is 1083164354. It was assigned to this organization in the NPPES registry on October 10, 2016.
Where is Cloudlake Dermatology PLLC located?
Cloudlake Dermatology PLLC is located at 400 N Broadway, Jericho, NY 11753. The listed phone number is (516) 992-6350.
What is Cloudlake Dermatology PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Cloudlake Dermatology PLLC enrolled in Medicare?
Yes. Cloudlake Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cloudlake Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Cloudlake Dermatology PLLC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cloudlake Dermatology PLLC was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.