GOLDMAN DERMATOLOGY, PLLC
NPI 1154311900
Specialist in New York, NY

Active since October 24, 2005
150 BROADWAY, SUITE 1110, NEW YORK, NY 10038(212) 962-1115(212) 962-1246 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Goldman Dermatology, Pllc NPPES

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

GOLDMAN DERMATOLOGY, PLLC (NPI 1154311900) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since October 2005. The organization lists Barry D Goldman, Owner, as its authorized official.

NPPES Registry Identity

NPI1154311900
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGOLDMAN DERMATOLOGY, PLLC
Location Address150 BROADWAY, SUITE 1110New York, NY 10038-4381
Mailing Address150 Broadway, Suite 1110New York, NY 10038-4381 · (212) 962-1115 · Fax (212) 962-1246
Fax(212) 962-1246
Organization SubpartNo
Authorized OfficialBarry D GoldmanOwner · (212) 962-1115
Enumeration DateOctober 24, 2005
Last NPPES UpdateMay 6, 2008
NPI 1154311900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 188106-1
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.

150 BROADWAY, New York, NY 10038

Other Identifiers 1

Medicare PINWCW741NY

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

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 Compliance 33D1048988

Goldman Dermatology, PLLC · New York, NY
Expired · May 31, 2026
CLIA Number33D1048988
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2024
Certificate Expiration DateMay 31, 2026
Laboratory DirectorDr. Tatyana Petukhova
Laboratory Phone(212) 962-1115
Laboratory LocationGoldman Dermatology, PLLC150 Broadway Suite 1110, New York, NY 10038
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

Dermatology
150 BROADWAY, SUITE 1110
NEW YORK, NY 10038
Family Medicine
150 BROADWAY, SUITE 714
NEW YORK, NY 10038
Obstetrics & Gynecology
150 BROADWAY, SUITE 714
NEW YORK, NY 10038
Dentist (General Practice)
150 BROADWAY, SUITE 1310
NEW YORK, NY 10038
Dentist
150 BROADWAY, SUITE 913
NEW YORK, NY 10038
Audiologist
150 BROADWAY, SUITE 1015
NEW YORK, NY 10038
Optometrist
150 BROADWAY
NEW YORK, NY 10038
Social Worker (Clinical)
150 BROADWAY, SUITE 1208
NEW YORK, NY 10038

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154311900, enumerated as an "organization" on October 24, 2005.

The provider is located at 150 BROADWAY SUITE 1110 NEW YORK, NY 10038 and the phone number is (212) 962-1115.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.