MEMORIAL DERMATOLOGY GROUP
NPI 1235100793
Dermatology in New York, NY
About Memorial Dermatology Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEMORIAL DERMATOLOGY GROUP (NPI 1235100793) is a healthcare organization registered as a dermatology in New York, New York and active in the NPI registry since January 2006. The organization lists Charles A Ryke, Manager, 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)
Memorial Dermatology Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Memorial Dermatology Group, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 23New York, NY 10022
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 Memorial Dermatology Group's NPI number?
The NPI number for Memorial Dermatology Group is 1235100793. It was assigned to this organization in the NPPES registry on January 31, 2006.
Where is Memorial Dermatology Group located?
Memorial Dermatology Group is located at 1275 York Ave, New York, NY 10021. The listed phone number is (646) 227-3813.
What is Memorial Dermatology Group's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Memorial Dermatology Group enrolled in Medicare?
Yes. Memorial Dermatology Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Memorial Dermatology Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 3 Medicare specialties reassign their Medicare billing to Memorial Dermatology Group. 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. The largest specialties are Dermatology (17), Micrographic Dermatologic Surgery (MDS) (3) and Nurse Practitioner (3). Of these, 10 practice at this address and 17 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 Memorial Dermatology Group 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.