DERMATIQUE
NPI 1104944032
Specialist in Smithtown, NY

Q: What is Dermedx Dermatology PC's NPI number?

The NPI number for Dermedx Dermatology PC is 1104944032. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as Dermatique.

Q: What is Dermedx Dermatology PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since March 27, 2007

222 E MAIN ST, SUITE 228, SMITHTOWN, NY 11787(631) 265-1351(631) 265-9363 Get Directions Write a Review

NPPES record last updated: July 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dermatique NPPES

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

DERMATIQUE (NPI 1104944032) is a healthcare organization registered as a specialist in Smithtown, New York and active in the NPI registry since March 2007. The organization lists Barry A Solomon, President, as its authorized official.

NPPES Registry Identity

NPI1104944032

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameDERMEDX DERMATOLOGY PC

Location Address222 E MAIN ST, SUITE 228Smithtown, NY 11787-2871

Mailing Address222 E Main St, Suite 228Smithtown, NY 11787-2871 · (631) 265-1351 · Fax (631) 265-9363

Phone(631) 265-1351

Fax(631) 265-9363

Organization SubpartNo

Authorized OfficialBarry A SolomonPresident · (631) 265-1351

Enumeration DateMarch 27, 2007

Last NPPES UpdateJuly 8, 2011

✔ NPI 1104944032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 195658

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

222 E MAIN ST, Smithtown, NY 11787

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Other Names 1

Doing Business AsDermatique

Other Identifiers 5

OtherW17942NY · Medicare Group #

Medicare UPING22711NY

Medicaid01785368NY

Other110501NY · Medicare Individual #

Other1740242031NY · Npi

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

Other Providers at the Same Location NPPES 12

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

DR. STEPHEN HONOR PH.D.

Specialist

222 E MAIN ST, SUITE 215
SMITHTOWN, NY 11787

Suffolk County (631) 979-6226

GARY L FOSTER PT

Specialist

222 E MAIN ST, SUITE 340
SMITHTOWN, NY 11787

Suffolk County (631) 366-3025

DR. MATHEW MELOOTTU CHACKO MD

Psychiatry & Neurology (Neurology)

222 E MAIN ST, SIUTE 101
SMITHTOWN, NY 11787

Suffolk County (631) 360-0303

LEANNA ROSE JENKINS MA

Speech-Language Pathologist

222 E MAIN ST
SMITHTOWN, NY 11787

Suffolk County (631) 656-8484

RONALD BRAUN DDS

Dentist

222 E MAIN ST, SUITE 316
SMITHTOWN, NY 11787

Suffolk County (631) 724-0327

GREGORY J BEACH PT

Specialist

222 E MAIN ST, SUITE 340
SMITHTOWN, NY 11787

Suffolk County (631) 366-3025

BEACH & FOSTER PHYSICAL THERAPY, P.C.

Specialist

222 E MAIN ST, SUITE 340
SMITHTOWN, NY 11787

Suffolk County (631) 366-3025

DR. MICHAEL HERSHIPS PH.D.

Psychologist (Clinical)

222 E MAIN ST, SUITE 210
SMITHTOWN, NY 11787

Suffolk County (631) 361-9338

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 Dermedx Dermatology PC's NPI number?

The NPI number for Dermedx Dermatology PC is 1104944032. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as Dermatique.

Where is Dermedx Dermatology PC located?

Dermedx Dermatology PC is located at 222 E Main St Suite 228, Smithtown, NY 11787. The listed phone number is (631) 265-1351.

What is Dermedx Dermatology PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dermedx Dermatology PC was last updated on July 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.