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WASHINGTON SQUARE DERMATOLOGY
NPI 1205376530
Dermatology in New York, NY

Active since March 06, 2017CLIA 33D2182704 · Waiver
18 WASHINGTON SQUARE NORTH, NEW YORK, NY 10011(212) 256-1075 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Washington Square Dermatology NPPES

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

WASHINGTON SQUARE DERMATOLOGY (NPI 1205376530) is a healthcare organization registered as a dermatology in New York, New York and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through April 23, 2028 and lists Samer Jaber, Founder, as its authorized official.

NPPES Registry Identity

NPI1205376530
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWASHINGTON SQUARE DERMATOLOGY
Location Address18 WASHINGTON SQUARE NORTHNew York, NY 10011
Mailing Address2 5th Ave, Unit 2New York, NY 10011-8856
Phone(212) 256-1075
Organization SubpartNo
Authorized OfficialSamer JaberFounder · (212) 256-1075
Enumeration DateMarch 6, 2017
✔ NPI 1205376530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 020662
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.
18 WASHINGTON SQUARE NORTH, New York, NY 10011
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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 Waiver 33D2182704

Washington Square Dermatology · New York, NY
Active · expires Apr 23, 2028
CLIA Number33D2182704
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorDr. Samer H. Jaber
Laboratory Phone(212) 256-1075
Laboratory LocationWashington Square Dermatology2 Fifth Avenue Unit 2, New York, NY 10011
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SUSANNA FRANKS PA-C
Dermatology
18 WASHINGTON SQUARE NORTH
NEW YORK, NY 10011
New York County (212) 256-1075

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 Washington Square Dermatology's NPI number?

The NPI number for Washington Square Dermatology is 1205376530. It was assigned to this organization in the NPPES registry on March 6, 2017.

Where is Washington Square Dermatology located?

Washington Square Dermatology is located at 18 Washington Square North, New York, NY 10011. The listed phone number is (212) 256-1075.

What is Washington Square Dermatology's specialty?

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

Does Washington Square Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2182704) is associated with this NPI, valid through April 23, 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 Washington Square Dermatology was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.