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MASSAPEQUA DERMATOLOGY PLLC
NPI 1184735193
Dermatology in Massapequa, NY

Active since August 31, 2006
70 GRAND AVE, MASSAPEQUA, NY 11758(516) 799-1600(516) 799-1454 Get Directions Write a Review

NPPES record last updated: April 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 lists David B Kessler, Owner, as its authorized official.

NPPES Registry Identity

NPI1184735193
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMASSAPEQUA DERMATOLOGY PLLC
Location Address70 GRAND AVEMassapequa, NY 11758-4906
Mailing Address70 Grand AveMassapequa, NY 11758-4906 · (516) 799-1600 · Fax (516) 799-1454
Phone(516) 799-1600
Fax(516) 799-1454
Organization SubpartNo
Authorized OfficialDavid B KesslerOwner · (516) 799-1600
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 22, 2015
✔ NPI 1184735193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 171086
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.
70 GRAND AVE, Massapequa, NY 11758
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Other Identifiers 3

Medicaid01503988NY
Medicare ID-Type Unspecified82F861
Medicare UPINE86337

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 33D0924107

Massapequa Dermatology PLLC · Massapequa, NY
Expired · Aug 7, 2026
CLIA Number33D0924107
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorDr. Todd R. Coven
Laboratory Phone(516) 799-1600
Laboratory LocationMassapequa Dermatology PLLC70 Grand Avenue, Massapequa, NY 11758
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 4

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

DR. DAVID B KESSLER D.O.
Dermatology
70 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-1600
JACKLYN M GONCALVES
Student in an Organized Health Care Education/Training Program
70 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
MS. KIMBERLY ANN COSSARO
Physician Assistant (Medical)
70 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-1600
TAYLOR KURZ PA-C
Physician Assistant
70 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-1600

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 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.

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.