METRO DERMATOLOGY OF NY,PC
NPI 1336343268
Physician Assistant in Flushing, NY
About Metro Dermatology Of Ny,pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
METRO DERMATOLOGY OF NY,PC (NPI 1336343268) is a healthcare organization registered as a physician assistant in Flushing, New York and active in the NPI registry since June 2007. The organization holds 4 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Hyun Soo Lee, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Metro Dermatology Of Ny,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Metro Dermatology Of Ny,pc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Rochester, NY 14623
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 4
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 for Provider-Performed Microscopy Procedures (PPMP) 33D2297672
Metro Dermatology Of Ny, PC · Bronx, NYCertificate for Provider-Performed Microscopy Procedures (PPMP) 33D2088606
Metro Dermatology Of Ny PC · Elmhurst, NYCertificate of Compliance 33D2188242
Metro Dermatology Of Ny PC · Flushing, NYCertificate for Provider-Performed Microscopy Procedures (PPMP) 33D1105277
Metro Dermatology Of Ny PC · Bronx, NYFrequently 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 Metro Dermatology Of Ny,pc's NPI number?
The NPI number for Metro Dermatology Of Ny,pc is 1336343268. It was assigned to this organization in the NPPES registry on June 13, 2007.
Where is Metro Dermatology Of Ny,pc located?
Metro Dermatology Of Ny,pc is located at 14472 Northern Blvd Ste 203, Flushing, NY 11354. The listed phone number is (718) 886-9000.
What is Metro Dermatology Of Ny,pc's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Metro Dermatology Of Ny,pc enrolled in Medicare?
Yes. Metro Dermatology Of Ny,pc is registered in the Medicare PECOS enrollment system.
When is Metro Dermatology Of Ny,pc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Metro Dermatology Of Ny,pc?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Metro Dermatology Of Ny,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. The largest specialties are Dermatology (7) and Nurse Practitioner (2). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Metro Dermatology Of Ny,pc hold CLIA laboratory certificates?
Yes. 4 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 Metro Dermatology Of Ny,pc was last updated on August 21, 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.
# Metro Dermatology Of Ny,pc · NPI 1336343268
Physician Assistant organization in Flushing, New York. Organization record, active in the CMS NPPES registry since June 13, 2007.
## Identity
- **NPI:** 1336343268 (Entity type: Organization)
- **Enumerated:** June 13, 2007
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Organization subpart:** No
- **Authorized official:** Hyun Soo Lee, OWNER
## Practice location
- **Address:** 14472 NORTHERN BLVD STE 203, Flushing, NY 11354-4231
- **Phone:** (718) 886-9000 · **Fax:** (718) 961-0666
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (7), Nurse Practitioner (2); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2020
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336343268) · Data from the CMS NPPES public registry.