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ADVANCED DERMATOLOGY CARE PC
NPI 1255497269
Dermatology - Procedural Dermatology in Astoria, NY

Active since December 28, 2006
2318 31ST ST, SUITE 320, ASTORIA, NY 11105(718) 728-9822(718) 728-2004 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advanced Dermatology Care Pc NPPES

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

ADVANCED DERMATOLOGY CARE PC (NPI 1255497269) is a healthcare organization registered as a procedural dermatology in Astoria, New York and active in the NPI registry since December 2006. The organization lists Alexander Nicolaides, President, as its authorized official.

NPPES Registry Identity

NPI1255497269
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameADVANCED DERMATOLOGY CARE PC
Location Address2318 31ST ST, SUITE 320Astoria, NY 11105-2892
Mailing Address2318 31st St, Suite 320Astoria, NY 11105-2892 · (718) 728-9822 · Fax (718) 728-2004
Phone(718) 728-9822
Fax(718) 728-2004
Organization SubpartNo
Authorized OfficialAlexander NicolaidesPresident · (718) 728-9822
Enumeration DateDecember 28, 2006
Last NPPES UpdateMay 8, 2019
✔ NPI 1255497269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in NY · 212075
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
2318 31ST ST, Astoria, NY 11105
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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)

Advanced Dermatology Care 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 Advanced Dermatology Care PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alexander Nicolaides, M.D.
Dermatology
NPI 1023104023
2318 31ST ST SUITE 320
Astoria, NY 11105
(718) 728-9822
✔ PECOS✔ Accepts MedicareSame address

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 Advanced Dermatology Care PC's NPI number?

The NPI number for Advanced Dermatology Care PC is 1255497269. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Advanced Dermatology Care PC located?

Advanced Dermatology Care PC is located at 2318 31st St Suite 320, Astoria, NY 11105. The listed phone number is (718) 728-9822.

What is Advanced Dermatology Care PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Advanced Dermatology Care PC enrolled in Medicare?

Yes. Advanced Dermatology Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatology Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Advanced Dermatology Care 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 Advanced Dermatology Care PC was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.