GOLDEN AGE DERMATOLOGY PLLC
NPI 1154871846
Dermatology in New York, NY

Active since October 06, 2016
345 E 37TH ST, 301, NEW YORK, NY 10016(212) 734-6621 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 19, 2023, Oct 29, 2018 (2 updates tracked since 2018).

About Golden Age Dermatology Pllc NPPES

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

GOLDEN AGE DERMATOLOGY PLLC (NPI 1154871846) is a healthcare organization registered as a dermatology in New York, New York and active in the NPI registry since October 2016. The organization lists Brooke Lichtenstein, Director, as its authorized official.

NPPES Registry Identity

NPI1154871846
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGOLDEN AGE DERMATOLOGY PLLC
Location Address345 E 37TH ST, 301New York, NY 10016-3256
Mailing Address250 Skillman St Ste 202Brooklyn, NY 11205-1218 · (212) 734-6621 · Fax (516) 430-5031
Organization SubpartNo
Authorized OfficialBrooke LichtensteinDirector · (212) 734-6621
Enumeration DateOctober 6, 2016
Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
✔ NPI 1154871846 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.
345 E 37TH ST, New York, NY 10016

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Golden Age Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1477763977
345 E 37TH ST RM 301
New York, NY 10016
(212) 867-1020
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1033436019
483 10TH AVE RM 310
New York, NY 10018
(917) 970-9100
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1235521477
305 LOCUST AVE
Oakdale, NY 11769
(631) 218-5900
✔ PECOS✔ Accepts Medicare45 mi

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 Golden Age Dermatology PLLC's NPI number?

The NPI number for Golden Age Dermatology PLLC is 1154871846. It was assigned to this organization in the NPPES registry on October 6, 2016.

Where is Golden Age Dermatology PLLC located?

Golden Age Dermatology PLLC is located at 345 E 37th St 301, New York, NY 10016. The listed phone number is (212) 734-6621.

What is Golden Age Dermatology PLLC's specialty?

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

Is Golden Age Dermatology PLLC enrolled in Medicare?

Yes. Golden Age Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Golden Age Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Golden Age Dermatology PLLC, in Dermatology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Golden Age Dermatology PLLC was last updated on January 19, 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.