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COSMETIC SURGERY AND DERMATOLOGY PLLC
NPI 1104097013
Dermatology in New York, NY

Active since March 19, 2008
117 E 18TH STREET, SUITE 1, NEW YORK, NY 10003(212) 673-5633 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cosmetic Surgery And Dermatology Pllc NPPES

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

COSMETIC SURGERY AND DERMATOLOGY PLLC (NPI 1104097013) is a healthcare organization registered as a dermatology in New York, New York and active in the NPI registry since March 2008. The organization lists Omar Torres, President, as its authorized official.

NPPES Registry Identity

NPI1104097013
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOSMETIC SURGERY AND DERMATOLOGY PLLC
Location Address117 E 18TH STREET, SUITE 1New York, NY 10003-2113
Mailing Address117 E 18th St Frnt 1New York, NY 10003-2113
Phone(212) 673-5633
Organization SubpartNo
Authorized OfficialOmar TorresPresident · (212) 673-5633
Enumeration DateMarch 19, 2008
Last NPPES UpdateJuly 17, 2023
NPPES CertifiedJuly 17, 2023
✔ NPI 1104097013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
117 E 18TH STREET, New York, NY 10003
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Other Identifiers 1

OtherA100000696NY · Medicare Group

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cosmetic Surgery And Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20090204000459Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cosmetic Surgery And Dermatology PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Omar Torres Lozada, M.D.
Dermatology
NPI 1477578607
117 E 18TH ST FRNT 1
New York, NY 10003
(129) 775-6712
✔ 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 Cosmetic Surgery And Dermatology PLLC's NPI number?

The NPI number for Cosmetic Surgery And Dermatology PLLC is 1104097013. It was assigned to this organization in the NPPES registry on March 19, 2008.

Where is Cosmetic Surgery And Dermatology PLLC located?

Cosmetic Surgery And Dermatology PLLC is located at 117 E 18th Street Suite 1, New York, NY 10003. The listed phone number is (212) 673-5633.

What is Cosmetic Surgery And Dermatology PLLC's specialty?

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

Is Cosmetic Surgery And Dermatology PLLC enrolled in Medicare?

Yes. Cosmetic Surgery And Dermatology PLLC is registered in the Medicare PECOS enrollment system.

When is Cosmetic Surgery And Dermatology PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Cosmetic Surgery And Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Cosmetic Surgery And 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cosmetic Surgery And Dermatology PLLC was last updated on July 17, 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.