1. Home
  2. Directory
  3. New York
  4. Flushing
  5. Physician Assistant
  6. NPI Profile

METRO DERMATOLOGY OF NY,PC
NPI 1336343268
Physician Assistant in Flushing, NY

Active since June 13, 2007CLIA Certified · 4 labs
14472 NORTHERN BLVD STE 203, FLUSHING, NY 11354(718) 886-9000(718) 961-0666 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2020, Feb 1, 2016, Sep 29, 2015 (3 updates tracked since 2015).

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

NPI1336343268
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameMETRO DERMATOLOGY OF NY,PC
Location Address14472 NORTHERN BLVD STE 203Flushing, NY 11354-4231
Mailing Address4012 80th StElmhurst, NY 11373-1234 · (718) 886-9000 · Fax (718) 961-0666
Phone(718) 886-9000
Fax(718) 961-0666
Organization SubpartNo
Authorized OfficialHyun Soo LeeOwner · (718) 886-9000
Enumeration DateJune 13, 2007
Last NPPES UpdateAugust 21, 20203 updates tracked since enumeration
NPPES CertifiedAugust 21, 2020
✔ NPI 1336343268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 017273✔ Licensed in NY · 012705✔ Licensed in NY · 012529✔ Licensed in NY · 015855✔ Licensed in NY · 017384
Definition
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.
Also ListedDermatologyTaxonomy 207N00000X · License 191741 (NY), 270019 (NY)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 186672 (NY), 258414 (NY)
14472 NORTHERN BLVD STE 203, Flushing, NY 11354
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1220 E 161st StBronx, NY 10451-3543 · Phone (718) 886-9000 · Fax (718) 961-0666
Location 24012 80th StElmhurst, NY 11373-1234 · Phone (718) 886-9000 ext. 4008 · Fax (718) 961-0666

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 5

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) 33D2306633

Metro Dermatology Of Ny, PC · Glen Oaks, NY
Active · expires Jun 20, 2028
CLIA Number33D2306633
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorDr. Hyun Soo Lee
Laboratory Phone(718) 886-9000
Laboratory LocationMetro Dermatology Of Ny, PC257-07 Union Tpke, Glen Oaks, NY 11004
CLIA data matches this NPI record on: Name Phone
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2297672

Metro Dermatology Of Ny, PC · Bronx, NY
Active · expires Dec 4, 2027
CLIA Number33D2297672
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorDr. Hyun Soo Lee
Laboratory Phone(718) 886-9000
Laboratory LocationMetro Dermatology Of Ny, PC119 E Fordham Rd, Bronx, NY 10468
CLIA data matches this NPI record on: Name Phone
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2088606

Metro Dermatology Of Ny PC · Elmhurst, NY
Active · expires Nov 7, 2027
CLIA Number33D2088606
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorDr. Hyun Soo Lee
Laboratory Phone(718) 886-9000
Laboratory LocationMetro Dermatology Of Ny PC40-12 80th Street, Elmhurst, NY 11373
CLIA data matches this NPI record on: Name Phone
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D1105277

Metro Dermatology Of Ny PC · Bronx, NY
Active · expires Sep 20, 2027
CLIA Number33D1105277
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorDr. Hyun Soo Lee
Laboratory Phone(718) 292-9197
Laboratory LocationMetro Dermatology Of Ny PC220 E 161 Street, Ground Floor, Bronx, NY 10451
CLIA data matches this NPI record on: 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.

Certificate of Compliance 33D2188242

Metro Dermatology Of Ny PC · Flushing, NY
Expired · Jul 31, 2026
CLIA Number33D2188242
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Stephanie Hu
Laboratory Phone(718) 886-9000
Laboratory LocationMetro Dermatology Of Ny PC144-72 Northern Blvd - Ste 203, Flushing, NY 11354
CLIA data matches this NPI record on: Name Phone
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 5

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

DR. STEPHANIE W. HU M.D.
Dermatology
14472 NORTHERN BLVD STE 203
FLUSHING, NY 11354
Queens County (718) 886-9000
HYUN-SOO LEE M.D.
Dermatology
14472 NORTHERN BLVD STE 203
FLUSHING, NY 11354
Queens County (718) 886-9000
HYEYOON HANNAH PARK
Nurse Practitioner (Adult Health)
14472 NORTHERN BLVD STE 203
FLUSHING, NY 11354
Queens County (718) 886-9000
YU JIN KIM
Physician Assistant
14472 NORTHERN BLVD STE 203
FLUSHING, NY 11354
Queens County (718) 886-9000
DIANA KATE SUN M.D.
Dermatology
14472 NORTHERN BLVD STE 203
FLUSHING, NY 11354
Queens County (718) 886-9000

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 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.

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 5 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.