METRO DERMATOLOGY OF NY,PC
NPI 1336343268
Physician Assistant in Flushing, NY
NPI Status: Active since June 13, 2007
Contact Information
14472 NORTHERN BLVD STE 203
FLUSHING, NY
ZIP 11354
Phone: (718) 886-9000
Fax: (718) 961-0666
- Organization
- Physician Assistant
- CLIA Number: 33D1105277
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-20-2027
About METRO DERMATOLOGY OF NY,PC
This page provides the complete NPI Profile along with additional information for Metro Dermatology Of Ny,pc, a primary care provider established in Flushing, New York operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1336343268 assigned on June 2007. The practitioner's primary taxonomy code is 363A00000X with license number 017273 (NY). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Hyun Soo Lee Md (Owner)
- NPI
- 1336343268
- Provider Name
- METRO DERMATOLOGY OF NY,PC
- Entity Type
- Organization
- Location Address
- 14472 NORTHERN BLVD STE 203 FLUSHING, NY 11354
- Location Phone
- (718) 886-9000
- Location Fax
- (718) 961-0666
- Mailing Address
- 4012 80TH ST ELMHURST, NY 11373
- Mailing Phone
- (718) 886-9000
- Mailing Fax
- (718) 961-0666
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-13-2007
- Last Update Date
- 08-21-2020
- Code Navigator
A primary care provider (PCP) like Metro Dermatology Of Ny,pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 4012 80th St
Elmhurst, NY 11373
(718) 886-9000 - 220 E 161st St
Bronx, NY 10451
(718) 886-9000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 017273
- License State
- NY
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | 191741 (NY) |
| 2 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | 270019 (NY) |
| 3 | 207ND0900X | Allopathic & Osteopathic Physicians | Dermatology | 186672 (NY) |
| 4 | 207ND0900X | Allopathic & Osteopathic Physicians | Dermatology | 258414 (NY) |
| 5 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 012705 (NY) |
| 6 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 012529 (NY) |
| 7 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 015855 (NY) |
| 8 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 017384 (NY) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D1105277
- Facility Type
- Physician Office
- Certificate Effective Date
- September 21, 2025
- Certificate Expiration Date
- September 20, 2027
- Laboratory Director
- DR. HYUN SOO LEE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Metro Dermatology Of Ny,pc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1336343268, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336343268, enumerated as an "organization" on June 13, 2007.
The provider is located at 14472 NORTHERN BLVD STE 203 FLUSHING, NY 11354 and the phone number is (718) 886-9000.
Physician Assistant with taxonomy code 363A00000X.
