MASSAPEQUA DERMATOLOGY PLLC
NPI 1184735193
Dermatology in Massapequa, NY
About Massapequa Dermatology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MASSAPEQUA DERMATOLOGY PLLC (NPI 1184735193) is a healthcare organization registered as a dermatology in Massapequa, New York and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 7, 2028 and lists David B Kessler, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Massapequa Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Massapequa Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 33D0924107
Massapequa Dermatology PLLC · Massapequa, NYFrequently 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 Massapequa Dermatology PLLC's NPI number?
The NPI number for Massapequa Dermatology PLLC is 1184735193. It was assigned to this organization in the NPPES registry on August 31, 2006.
Where is Massapequa Dermatology PLLC located?
Massapequa Dermatology PLLC is located at 70 Grand Ave, Massapequa, NY 11758. The listed phone number is (516) 799-1600.
What is Massapequa Dermatology PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Massapequa Dermatology PLLC enrolled in Medicare?
Yes. Massapequa Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Massapequa Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Massapequa Dermatology PLLC, in Dermatology, Micrographic Dermatologic Surgery (MDS) and Plastic and Reconstructive Surgery. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Massapequa Dermatology PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 33D0924107) is associated with this NPI, valid through August 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Massapequa Dermatology PLLC was last updated on April 22, 2015. 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.
# Massapequa Dermatology Pllc · NPI 1184735193
Dermatology organization in Massapequa, New York. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1184735193 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** David Kessler, OWNER
## Practice location
- **Address:** 70 GRAND AVE, Massapequa, NY 11758-4906
- **Phone:** (516) 799-1600 · **Fax:** (516) 799-1454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (1), Micrographic Dermatologic Surgery (MDS) (1), Plastic and Reconstructive Surgery (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2015
- **Other identifiers:** Medicaid 01503988 (NY); Medicare ID-Type Unspecified 82F861; Medicare UPIN E86337
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184735193) · Data from the CMS NPPES public registry.