UNIVERSITY PHYSICIANS OF BROOKLYN, INC.
NPI 1104229749
Dermatology in Brooklyn, NY

Active since September 26, 2014CLIA 33D2343850 · Microscopy
450 CLARKSON AVE, MSC#80, BROOKLYN, NY 11203(718) 613-8481(718) 613-8498 Get Directions Write a Review

NPPES record last updated: September 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Physicians Of Brooklyn, Inc. NPPES

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

UNIVERSITY PHYSICIANS OF BROOKLYN, INC. (NPI 1104229749) is a healthcare organization registered as a dermatology in Brooklyn, New York and active in the NPI registry since September 2014. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists Marilyn Vientos-sotiriadis, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1104229749
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameUNIVERSITY PHYSICIANS OF BROOKLYN, INC.
Location Address450 CLARKSON AVE, MSC#80Brooklyn, NY 11203-2012
Mailing Address450 Clarkson Ave, Msc#80Brooklyn, NY 11203-2012 · (718) 613-8481 · Fax (718) 613-8498
Fax(718) 613-8498
Organization SubpartNo
Authorized OfficialMarilyn Vientos-sotiriadisChief Operating Officer · (718) 270-2025
Enumeration DateSeptember 26, 2014
NPI 1104229749 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 ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedOtolaryngologyTaxonomy 207Y00000X
450 CLARKSON AVE, Brooklyn, NY 11203

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 for Provider-Performed Microscopy Procedures (PPMP) 33D2343850

University Physicians Of Brooklyn Infectious Diseases Office Practice · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2343850
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Michael H. Augenbraun
Laboratory Phone(718) 270-1360
Laboratory LocationUniversity Physicians Of Brooklyn Infectious Diseases Office Practice450 Clarkson Ave - B5-318, Brooklyn, NY 11203
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203

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 University Physicians Of Brooklyn, Inc.'s NPI number?

The NPI number for University Physicians Of Brooklyn, Inc. is 1104229749. It was assigned to this organization in the NPPES registry on September 26, 2014.

Where is University Physicians Of Brooklyn, Inc. located?

University Physicians Of Brooklyn, Inc. is located at 450 Clarkson Ave Msc#80, Brooklyn, NY 11203. The listed phone number is (718) 613-8481.

What is University Physicians Of Brooklyn, Inc.'s specialty?

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

Does University Physicians Of Brooklyn, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2343850) is associated with this NPI, valid through March 26, 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 University Physicians Of Brooklyn, Inc. was last updated on September 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.