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LATHAM DERMATOLOGY, PLLC
NPI 1235616962
Dermatology in Latham, NY

Active since July 25, 2018CLIA 33D2323893 · Certificate of Compliance
711 TROY SCHENECTADY RD STE 211, LATHAM, NY 12110(518) 783-8780 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 4, 2018, Jul 25, 2018 (2 updates tracked since 2018).

About Latham Dermatology, Pllc NPPES

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

LATHAM DERMATOLOGY, PLLC (NPI 1235616962) is a healthcare organization registered as a dermatology in Latham, New York and active in the NPI registry since July 2018. The organization holds a CLIA Certificate of Compliance certificate valid through May 14, 2027 and lists Adam Plotkin, Authorized Group Official, as its authorized official.

NPPES Registry Identity

NPI1235616962
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLATHAM DERMATOLOGY, PLLC
Location Address711 TROY SCHENECTADY RD STE 211Latham, NY 12110-2461
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000 · Fax (561) 431-2821
Phone(518) 783-8780
Organization SubpartNo
Authorized OfficialAdam PlotkinAuthorized Group Official · (561) 314-2000
Enumeration DateJuly 25, 2018
Last NPPES UpdateOctober 4, 20182 updates tracked since enumeration
✔ NPI 1235616962 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.
711 TROY SCHENECTADY RD STE 211, Latham, NY 12110
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latham Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Latham Dermatology, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Sheryl Miller, MD
Dermatology
NPI 1003999491
711 TROY SCHENECTADY RD STE 208
Latham, NY 12110
(518) 783-8780
✔ PECOS✔ Accepts MedicareSame address
Mckenzie Jones, N.P.
Nurse Practitioner
NPI 1821193806
711 TROY SCHENECTADY RD STE 208
Latham, NY 12110
(518) 783-8780
✔ PECOS✔ Accepts MedicareSame address
Animesh Sinha, M.D
Dermatology
NPI 1285733014
10 UNION SQ E SUITE 3C
New York, NY 10003
(212) 844-8800
✔ PECOS140 mi
John Strasswimmer, M.D.
Dermatology
NPI 1871577700
515 E 1ST ST
Salida, CO 81201
(719) 539-5338
✔ PECOS✔ Accepts Medicare1,707 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D2323893

Latham Dermatology PLLC · Latham, NY
Active · expires May 14, 2027
CLIA Number33D2323893
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorJohn Strasswimmer
Laboratory Phone(518) 783-8780
Laboratory LocationLatham Dermatology PLLC711 Troy Schenectady Suite 208, Latham, NY 12110
CLIA data matches this NPI record on: 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.

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 Latham Dermatology, PLLC's NPI number?

The NPI number for Latham Dermatology, PLLC is 1235616962. It was assigned to this organization in the NPPES registry on July 25, 2018.

Where is Latham Dermatology, PLLC located?

Latham Dermatology, PLLC is located at 711 Troy Schenectady Rd Ste 211, Latham, NY 12110. The listed phone number is (518) 783-8780.

What is Latham Dermatology, PLLC's specialty?

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

Is Latham Dermatology, PLLC enrolled in Medicare?

Yes. Latham Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Latham Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Latham Dermatology, PLLC. 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 (3) and Nurse Practitioner (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Latham Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2323893) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Latham Dermatology, PLLC was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.