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NEAR ME DERMATOLOGY PLLC
NPI 1083387898
Dermatology in West Seneca, NY

Active since July 28, 2021CLIA 33D2351746 · Waiver
550 ORCHARD PARK RD STE A110, WEST SENECA, NY 14224(716) 650-5720(716) 650-4618 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 1, 2024, Jun 8, 2023, May 10, 2023 and 3 more (6 updates tracked since 2021).

About Near Me Dermatology Pllc NPPES

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

NEAR ME DERMATOLOGY PLLC (NPI 1083387898) is a healthcare organization registered as a dermatology in West Seneca, New York and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through September 30, 2028, maintains 3 additional practice locations, and lists Youn Jea Kim, Chairman Of The Boad, as its authorized official.

NPPES Registry Identity

NPI1083387898
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNEAR ME DERMATOLOGY PLLC
Location Address550 ORCHARD PARK RD STE A110West Seneca, NY 14224-2646
Mailing Address1170 Maple RdWilliamsville, NY 14221-3440 · (213) 880-2538
Phone(716) 650-5720
Fax(716) 650-4618
Organization SubpartNo
Authorized OfficialYoun Jea KimChairman Of The Boad · (213) 880-2538
Enumeration DateJuly 28, 2021
Last NPPES UpdateMay 1, 20246 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1083387898 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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
550 ORCHARD PARK RD STE A110, West Seneca, NY 14224
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Secondary Practice Locations 3

Location 1609 Central AveDunkirk, NY 14048-2538 · Phone (213) 880-2538
Location 21170 Maple RdWilliamsville, NY 14221-3440 · Phone (213) 880-2538
Location 3112 W Main StAllegany, NY 14706-1204 · Phone (716) 650-5720 · Fax (716) 650-4618

Other Identifiers 1

Medicaid04401649NY

Group Practice 2

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

Near Me Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Near Me Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner8
Dermatology2

Clinicians, nearest first (10)

Youn Jea Kim, NP
Nurse Practitioner
NPI 1376908442
550 ORCHARD PARK RD STE A110
Buffalo, NY 14224
(716) 650-5720
✔ PECOSSame address
Cynthia Chan, FNP
Nurse Practitioner
NPI 1093669293
550 ORCHARD PARK RD STE 110
West Seneca, NY 14224
(716) 650-5720
✔ PECOS0.1 mi
Kasey Weaver, FNP
Nurse Practitioner
NPI 1306403449
550 ORCHARD PARK RD STE A110
West Seneca, NY 14224
(716) 650-5720
✔ PECOS0.1 mi
Carol Baird, CRNP
Nurse Practitioner
NPI 1932251634
ELM AND CARLTON ST
Buffalo, NY 14263
(716) 845-2300
✔ PECOS6.3 mi
Nickolas Trogdon, FNP
Nurse Practitioner
NPI 1508610148
609 CENTRAL AVE
Dunkirk, NY 14048
(716) 650-5720
✔ PECOS37 mi
Carla Gerard, MSN, APRN, FNP-BC
Nurse Practitioner
NPI 1316629843
4302 GATEWAY DR
Geneseo, NY 14454
(585) 243-5990
✔ PECOS✔ Accepts Medicare51 mi
Shelby Knapp, FNP
Nurse Practitioner
NPI 1750154886
120 1ST ST
Bolivar, NY 14715
(585) 928-1600
✔ PECOS61 mi
Stephen Hess, MD
Dermatology
NPI 1033279955
1500 WALNUT ST SUITE 1240
Philadelphia, PA 19102
(267) 687-4437
✔ PECOS✔ Accepts Medicare274 mi
Adam Plotkin, MD
Dermatology
NPI 1306896105
5210 LINTON BLVD SUITE 307
Delray Beach, FL 33484
(561) 499-0660
✔ PECOS1,133 mi
Alyanna Mejia, FNP
Nurse Practitioner
NPI 1518749209
427 N GRAND AVE
Gainesville, TX 76240
(940) 584-1014
✔ PECOS✔ Accepts Medicare1,180 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 Waiver 33D2351746

Near Me Dermatology PLLC · Dunkirk, NY
Active · expires Sep 30, 2028
CLIA Number33D2351746
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2026
Certificate Expiration DateSeptember 30, 2028
Laboratory DirectorNickolas Trogdon
Laboratory Phone(716) 650-5720
Laboratory LocationNear Me Dermatology PLLC609 Central Avenue, Dunkirk, NY 14048
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Near Me Dermatology PLLC's NPI number?

The NPI number for Near Me Dermatology PLLC is 1083387898. It was assigned to this organization in the NPPES registry on July 28, 2021.

Where is Near Me Dermatology PLLC located?

Near Me Dermatology PLLC is located at 550 Orchard Park Rd Ste A110, West Seneca, NY 14224. The listed phone number is (716) 650-5720.

What is Near Me Dermatology PLLC's specialty?

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

Is Near Me Dermatology PLLC enrolled in Medicare?

Yes. Near Me Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Near Me Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Near Me 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. The largest specialties are Nurse Practitioner (8) and Dermatology (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Near Me Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2351746) is associated with this NPI, valid through September 30, 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 Near Me Dermatology PLLC was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.