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VANGUARD DERMATOLOGY
NPI 1336337955
Specialist in Forest Hills, NY

Active since October 09, 2007CLIA 33D1071476 · Certificate of Compliance
11045 QUEENS BLVD, UNIT 116, FOREST HILLS, NY 11375(718) 332-2999 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vanguard Dermatology NPPES

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

VANGUARD DERMATOLOGY (NPI 1336337955) is a healthcare organization registered as a specialist in Forest Hills, New York and active in the NPI registry since October 2007. The organization holds a CLIA Certificate of Compliance certificate valid through January 16, 2028 and lists Michael Shapiro, President, as its authorized official.

NPPES Registry Identity

NPI1336337955
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameVANGUARD DERMATOLOGY
Location Address11045 QUEENS BLVD, UNIT 116Forest Hills, NY 11375-5501
Mailing Address14568 3rd AveWhitestone, NY 11357-1101 · (718) 332-2999
Phone(718) 332-2999
Organization SubpartNo
Authorized OfficialMichael ShapiroPresident · (718) 332-2999
Enumeration DateOctober 9, 2007
✔ NPI 1336337955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11045 QUEENS BLVD, Forest Hills, NY 11375
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Other Identifiers 3

Medicare UPINI08617NY
Medicare PIN07396NY
Medicaid02692937NY

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

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 33D1071476

Vanguard Dermatology · Forest Hills, NY
Active · expires Jan 16, 2028
CLIA Number33D1071476
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorDr. Michael Shapiro
Laboratory Phone(212) 398-1288
Laboratory LocationVanguard Dermatology110-45 Queens Blvd, Suite 116, Forest Hills, NY 11375
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NANCY XIAO ZHANG O.M.D
Acupuncturist
11045 QUEENS BLVD, SUITE AA
FOREST HILLS, NY 11375
Queens County (718) 268-4464
ABIGAIL MARIE AGUSTERO DOCENA
Physical Therapist
11045 QUEENS BLVD, SUITE 105
FOREST HILLS, NY 11375
Queens County (718) 575-5100
KING-LEE CHU MD
Internal Medicine
11045 QUEENS BLVD, STE 107
FOREST HILLS, NY 11375
Queens County (718) 268-8339
DR. MICHAEL GENCO D. C.
Chiropractor
11045 QUEENS BLVD, SUITE AA
FOREST HILLS, NY 11375
Queens County (718) 268-4464
MAYER E BALLAS MD
Internal Medicine (Cardiovascular Disease)
11045 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (718) 520-0001
H ALAN SCHNALL MD PLLC
Internal Medicine (Gastroenterology)
11045 QUEENS BLVD, SUITE 103
FOREST HILLS, NY 11375
Queens County (718) 520-0600
DR. MANNY STERNBERG M.D.
Surgery
11045 QUEENS BLVD, APT. 810
FOREST HILLS, NY 11375
Queens County (718) 459-5959
VADIM DOLSKY LAC
Acupuncturist
11045 QUEENS BLVD, SUITE 105
FOREST HILLS, NY 11375
Queens County (718) 294-5000

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 Vanguard Dermatology's NPI number?

The NPI number for Vanguard Dermatology is 1336337955. It was assigned to this organization in the NPPES registry on October 9, 2007.

Where is Vanguard Dermatology located?

Vanguard Dermatology is located at 11045 Queens Blvd Unit 116, Forest Hills, NY 11375. The listed phone number is (718) 332-2999.

What is Vanguard Dermatology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Vanguard Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D1071476) is associated with this NPI, valid through January 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vanguard Dermatology was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.