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ROCKVILLE DERMATOLOGY, PC
NPI 1356349153
Dermatology in Rockville Centre, NY

Active since July 14, 2005CLIA 33D1031126 · Certificate of Compliance
2000 N VILLAGE AVE, SUITE 203, ROCKVILLE CENTRE, NY 11570(516) 763-1717(516) 678-4996 Get Directions Write a Review

NPPES record last updated: November 18, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rockville Dermatology, Pc NPPES

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

ROCKVILLE DERMATOLOGY, PC (NPI 1356349153) is a healthcare organization registered as a dermatology in Rockville Centre, New York and active in the NPI registry since July 2005. The organization holds a CLIA Certificate of Compliance certificate valid through May 5, 2027 and lists Stuart R Levine, President, as its authorized official.

NPPES Registry Identity

NPI1356349153
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameROCKVILLE DERMATOLOGY, PC
Location Address2000 N VILLAGE AVE, SUITE 203Rockville Centre, NY 11570-1078
Mailing Address2000 N Village Ave, Suite 203Rockville Centre, NY 11570-1078 · (516) 763-1717 · Fax (516) 678-4996
Phone(516) 763-1717
Fax(516) 678-4996
Organization SubpartNo
Authorized OfficialStuart R LevinePresident · (516) 763-1717
Enumeration DateJuly 14, 2005
Last NPPES UpdateNovember 18, 2011
✔ NPI 1356349153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 197033
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2000 N VILLAGE AVE, Rockville Centre, NY 11570
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Other Identifiers 3

Medicare PINWCG481NY
Medicare PINRO0WCG4810NY
Other7673541Aetna

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rockville Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Rockville Dermatology, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Dermatology7
Family Practice1
Nurse Practitioner1
Pathology1
Plastic and Reconstructive Surgery1

Clinicians, nearest first (11)

Stuart Levine, DO
Dermatology
NPI 1386622579
2000 N VILLAGE AVE SUITE 203
Rockville Centre, NY 11570
(516) 763-1717
✔ PECOS✔ Accepts MedicareSame address
Danielle Well, R.N., CRNP
Nurse Practitioner
NPI 1699989871
2000 N VILLAGE AVE SUITE 203
Rockville Centre, NY 11570
(516) 763-1717
✔ PECOS✔ Accepts MedicareSame address
Ronald Spillane, M.D.
Dermatology
NPI 1295706992
45 ROXEN RD
Rockville Centre, NY 11570
(516) 678-0048
✔ PECOS✔ Accepts Medicare0.7 mi
David Antell, D.O.
Plastic and Reconstructive Surgery
NPI 1588734735
143 FROEHLICH FARM BLVD
Woodbury, NY 11797
(516) 390-8888
✔ PECOS✔ Accepts Medicare11 mi
Xuan Wang, M.D. PH.D.
Pathology
NPI 1578706032
80 CROSSWAYS PARK DR STE 100
Woodbury, NY 11797
(516) 944-3882
✔ PECOS✔ Accepts Medicare11 mi
Adam Nabatian, M.D.
Dermatology
NPI 1548569437
445 E 58TH ST
New York, NY 10022
(212) 838-0270
✔ PECOS✔ Accepts Medicare18 mi
Wayne Luo, M.D.
Dermatology
NPI 1346267192
911 PARK AVE SUITE 1A
New York, NY 10021
(212) 772-7242
✔ PECOS✔ Accepts Medicare18 mi
Audra Malerba, D.O.
Family Practice
NPI 1578682985
327 E MAIN ST
Smithtown, NY 11787
(631) 979-0909
✔ PECOS✔ Accepts Medicare25 mi
Donna Serure, D.O.
Dermatology
NPI 1356494231
327 E MAIN ST
Smithtown, NY 11787
(631) 979-0909
✔ PECOS✔ Accepts Medicare25 mi
David Ciocon, M.D.
Dermatology
NPI 1790878866
20 PROSPECT AVE STE 702
Hackensack, NJ 07601
(201) 441-9890
✔ PECOS26 mi
Jordan Fabrikant, D.O.
Dermatology
NPI 1649585753
921 TOWN CENTER DR
Orange City, FL 32763
(386) 218-1180
✔ PECOS✔ Accepts Medicare921 mi

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

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 33D1031126

Rockville Dermatology PC · Rockville Centre, NY
Active · expires May 5, 2027
CLIA Number33D1031126
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorDr. Stuart Levine
Laboratory Phone(516) 763-1717
Laboratory LocationRockville Dermatology PC2000 North Village Avenue, Suite #203, Rockville Centre, NY 11570
CLIA data matches this NPI record on: Address 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.

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 Rockville Dermatology, PC's NPI number?

The NPI number for Rockville Dermatology, PC is 1356349153. It was assigned to this organization in the NPPES registry on July 14, 2005.

Where is Rockville Dermatology, PC located?

Rockville Dermatology, PC is located at 2000 N Village Ave Suite 203, Rockville Centre, NY 11570. The listed phone number is (516) 763-1717.

What is Rockville Dermatology, PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Rockville Dermatology, PC enrolled in Medicare?

Yes. Rockville Dermatology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rockville Dermatology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Rockville Dermatology, 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), Family Practice (1) and Nurse Practitioner (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rockville Dermatology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D1031126) is associated with this NPI, valid through May 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rockville Dermatology, PC was last updated on November 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.