1. Home
  2. Directory
  3. New York
  4. Auburn
  5. Dermatology
  6. NPI Profile

AUBURN DERMATOLOGY PLLC
NPI 1275221053
Dermatology in Auburn, NY

Active since April 28, 2023CLIA Certified · 2 labs
144 STANDART AVE, AUBURN, NY 13021(315) 255-1100(315) 255-1322 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Auburn Dermatology Pllc NPPES

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

AUBURN DERMATOLOGY PLLC (NPI 1275221053) is a healthcare organization registered as a dermatology in Auburn, New York and active in the NPI registry since April 2023. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Animesh Sinha, Officer, as its authorized official.

NPPES Registry Identity

NPI1275221053
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAUBURN DERMATOLOGY PLLC
Location Address144 STANDART AVEAuburn, NY 13021-1508
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000
Phone(315) 255-1100
Fax(315) 255-1322
Organization SubpartNo
Authorized OfficialAnimesh SinhaOfficer · (561) 314-2000
Enumeration DateApril 28, 2023
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1275221053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
144 STANDART AVE, Auburn, NY 13021
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1833 W Genesee Street RdSkaneateles, NY 13152-9303 · Phone (315) 668-5110
Location 27040 Manlius Center RdEast Syracuse, NY 13057-9530 · Phone (315) 671-2210

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)

Auburn 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 Auburn Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Anthony Chiaravalloti, MD
Dermatology
NPI 1598178378
144 STANDART AVE
Auburn, NY 13021
(315) 255-1100
✔ PECOS✔ Accepts MedicareSame address
Zachary Smith, NP
Nurse Practitioner
NPI 1063126522
144 STANDART AVE
Auburn, NY 13021
(315) 255-1100
✔ PECOS✔ Accepts MedicareSame address
Anne Sveen, MD
Pediatric Medicine
NPI 1497771844
144 STANDART AVE
Auburn, NY 13021
(315) 255-1100
✔ PECOSSame address
Jeffrey Laduca, PH. D, MD
Dermatology
NPI 1053371450
144 STANDART AVE
Auburn, NY 13021
(315) 255-1100
✔ 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.

CLIA Laboratory Certificates CMS CLIA 2

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 33D2047462

Auburn Dermatology PLLC · East Syracuse, NY
Active · expires Jan 26, 2028
CLIA Number33D2047462
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorDr. Anthony Chiaravalloti
Laboratory Phone(315) 671-2211
Laboratory LocationAuburn Dermatology PLLC7040 Manlius Center Road, East Syracuse, NY 13057
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D1013300

Auburn Dermatology PLLC · Skaneateles, NY
Active · expires Jun 5, 2027
CLIA Number33D1013300
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorJeffrey R. La Duca
Laboratory Phone(315) 671-2211
Laboratory LocationAuburn Dermatology PLLC833 West Genesee Street, Skaneateles, NY 13152
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Auburn Dermatology PLLC's NPI number?

The NPI number for Auburn Dermatology PLLC is 1275221053. It was assigned to this organization in the NPPES registry on April 28, 2023.

Where is Auburn Dermatology PLLC located?

Auburn Dermatology PLLC is located at 144 Standart Ave, Auburn, NY 13021. The listed phone number is (315) 255-1100.

What is Auburn Dermatology PLLC's specialty?

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

Is Auburn Dermatology PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Auburn Dermatology PLLC?

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

Does Auburn Dermatology PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Auburn Dermatology PLLC was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.