ADIRONDACK DERMATOLOGY PC
NPI 1215003579
Dermatology in Plattsburgh, NY
About Adirondack Dermatology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADIRONDACK DERMATOLOGY PC (NPI 1215003579) is a healthcare organization registered as a dermatology in Plattsburgh, New York and active in the NPI registry since November 2006. The organization lists John Dejordy, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Adirondack Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Adirondack Dermatology PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Morrisonville, NY 12962
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 Adirondack Dermatology PC's NPI number?
The NPI number for Adirondack Dermatology PC is 1215003579. It was assigned to this organization in the NPPES registry on November 28, 2006.
Where is Adirondack Dermatology PC located?
Adirondack Dermatology PC is located at 1753 Route 3 Adirondack Dermatology PC, Plattsburgh, NY 12962. The listed phone number is (518) 563-7546.
What is Adirondack Dermatology PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Adirondack Dermatology PC enrolled in Medicare?
Yes. Adirondack Dermatology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Adirondack Dermatology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Adirondack Dermatology PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Adirondack Dermatology PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.