MEMORIAL DERMATOLOGY GROUP
NPI 1235100793
Dermatology in New York, NY

Active since January 31, 2006
1275 YORK AVE, NEW YORK, NY 10021(646) 227-3813 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1235100793
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMEMORIAL DERMATOLOGY GROUP
Location Address1275 YORK AVENew York, NY 10021-6007
Mailing Address633 3rd Ave, Box 3New York, NY 10017-6706
Organization SubpartNo
Authorized OfficialCharles A RykeManager · (646) 227-3650
Enumeration DateJanuary 31, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1235100793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
1275 YORK AVE, New York, NY 10021

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

23

Medicare 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

Dermatology17
Micrographic Dermatologic Surgery (MDS)3
Nurse Practitioner3

Nearest to this location (20)

See all 23
Dermatology
NPI 1528563509
1275 YORK AVE
New York, NY 10065
(646) 814-2440
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1740607951
1275 YORK AVE
New York, NY 10065
(443) 538-2739
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1114380284
1275 YORK AVE
New York, NY 10065
(646) 608-2372
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1588926000
1275 YORK AVE DERMATOLOGY DEPT
New York, NY 10065
(212) 639-2000
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1710379094
1275 YORK AVE
New York, NY 10065
(212) 639-2000
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1093786881
1275 YORK AVE
New York, NY 10021
(646) 227-3813
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1679563324
1275 YORK AVE
New York, NY 10065
(646) 888-6014
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1962070912
1275 YORK AVE
New York, NY 10065
(332) 209-5146
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1821069881
1275 YORK AVE
New York, NY 10021
(646) 227-3813
✔ PECOSSame address
Dermatology
NPI 1003887035
1275 YORK AVE
New York, NY 10021
(646) 227-3813
✔ PECOS✔ Accepts MedicareSame address
Micrographic Dermatologic Surgery (MDS)
NPI 1750552899
540 EAST 74TH STREET DERMATOLOGY DIVISION
New York, NY 10022
(646) 618-2313
✔ PECOS✔ Accepts Medicare0.3 mi
Dermatology
NPI 1992259154
530 E 74TH ST
New York, NY 10021
(646) 608-2301
✔ PECOS✔ Accepts Medicare0.3 mi
Dermatology
NPI 1134547805
530 EAST 74TH STREET
New York, NY 10021
(646) 608-2339
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1790461069
530 E 74TH ST
New York, NY 10021
(646) 608-2342
✔ PECOS✔ Accepts Medicare0.4 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1477714319
16 E 60TH ST
New York, NY 10022
(646) 888-6022
✔ PECOS✔ Accepts Medicare0.8 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1639140601
160 E 53RD ST FL 2
New York, NY 10022
(212) 610-0782
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1871225144
424 E 34TH ST
New York, NY 10016
(212) 263-7300
✔ PECOS1.7 mi
Dermatology
NPI 1871939322
136 MOUNTAINVIEW BLVD
Basking Ridge, NJ 07920
(855) 955-1019
✔ PECOS✔ Accepts Medicare34 mi
Dermatology
NPI 1376514174
800 VETERANS MEMORIAL HWY
Hauppauge, NY 11788
(646) 227-3813
✔ PECOS✔ Accepts Medicare40 mi
Dermatology
NPI 1649633355
855 STATE ROUTE 17M
Monroe, NY 10950
(845) 703-6999
✔ PECOS✔ Accepts Medicare42 mi
See all 23 clinicians

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.