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PENROSE DERMATOLOGY PLLC
NPI 1346601333
Clinic/Center - Medical Specialty in Staten Island, NY

Active since March 17, 2016
1110 SOUTH AVE, SUITE 400, STATEN ISLAND, NY 10314(917) 830-1415(917) 830-1418 Get Directions Write a Review

NPPES record last updated: June 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2016, Mar 17, 2016 (2 updates tracked since 2016).

About Penrose Dermatology Pllc NPPES

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

PENROSE DERMATOLOGY PLLC (NPI 1346601333) is a healthcare organization registered as a medical specialty in Staten Island, New York and active in the NPI registry since March 2016. The organization lists Carolin Penrose, Dermatologist, as its authorized official.

NPPES Registry Identity

NPI1346601333
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePENROSE DERMATOLOGY PLLC
Location Address1110 SOUTH AVE, SUITE 400Staten Island, NY 10314-3403
Mailing Address1110 South Ave, Suite 400Staten Island, NY 10314-3403 · (917) 830-1415 · Fax (917) 830-1418
Phone(917) 830-1415
Fax(917) 830-1418
Organization SubpartNo
Authorized OfficialCarolin PenroseDermatologist · (917) 620-4421
Enumeration DateMarch 17, 2016
Last NPPES UpdateJune 28, 20162 updates tracked since enumeration
✔ NPI 1346601333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NY · 245597-1
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1110 SOUTH AVE, Staten Island, NY 10314
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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.

DR. JANETTE ROSALIA RAMOS-ACOSTA PH.D.
Psychologist (Clinical)
1110 SOUTH AVE
STATEN ISLAND, NY 10314
Richmond County (609) 795-1997
ELIZABETH FRANCIS
Behavior Analyst
1110 SOUTH AVE
STATEN ISLAND, NY 10314
Richmond County (347) 446-0172
ELMA FERATOVIC
Registered Nurse
1110 SOUTH AVE
STATEN ISLAND, NY 10314
Richmond County (718) 226-6500
ERIKA BARBARA VIGO
Case Manager/Care Coordinator
1110 SOUTH AVE
STATEN ISLAND, NY 10314
Richmond County (718) 556-1616
MS. ALYSSA ELIZABETH RYAN
Social Worker
1110 SOUTH AVE
STATEN ISLAND, NY 10314
Richmond County (866) 707-8669
MISS STEFANIE ANN SCUDERA LMHC, NCC
Counselor (Mental Health)
1110 SOUTH AVE, SUITE 5
STATEN ISLAND, NY 10314
Richmond County (347) 273-1290
MARYELLEN ROMANO M.D.
Obstetrics & Gynecology (Gynecology)
1110 SOUTH AVE, SUITE306
STATEN ISLAND, NY 10314
Richmond County (718) 761-4700
ALANNA PRIOLO MA, CCC-SLP, TSSLD
Speech-Language Pathologist
1110 SOUTH AVE
STATEN ISLAND, NY 10314
Richmond County (866) 707-8869

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 Penrose Dermatology PLLC's NPI number?

The NPI number for Penrose Dermatology PLLC is 1346601333. It was assigned to this organization in the NPPES registry on March 17, 2016.

Where is Penrose Dermatology PLLC located?

Penrose Dermatology PLLC is located at 1110 South Ave Suite 400, Staten Island, NY 10314. The listed phone number is (917) 830-1415.

What is Penrose Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Penrose Dermatology PLLC was last updated on June 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.