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UPPER WEST SIDE DERMATOLOGY INC
NPI 1356504054
Dermatology in New York, NY

Active since July 03, 2008CLIA Certified · 2 labs
211 CENTRAL PARK W, SUITE 1F, NEW YORK, NY 10024(212) 769-0069 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Upper West Side Dermatology Inc NPPES

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

UPPER WEST SIDE DERMATOLOGY INC (NPI 1356504054) is a healthcare organization registered as a dermatology in New York, New York and active in the NPI registry since July 2008. The organization holds 2 active CLIA laboratory certificates and lists Lisa Travis, Owner, as its authorized official.

NPPES Registry Identity

NPI1356504054
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameUPPER WEST SIDE DERMATOLOGY INC
Location Address211 CENTRAL PARK W, SUITE 1FNew York, NY 10024-6020
Mailing Address211 Central Park W, Suite 1fNew York, NY 10024-6020 · (212) 769-0069
Phone(212) 769-0069
Organization SubpartNo
Authorized OfficialLisa TravisOwner · (212) 769-0069
Enumeration DateJuly 3, 2008
Last NPPES UpdateApril 27, 2010
✔ NPI 1356504054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 238877
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.
211 CENTRAL PARK W, New York, NY 10024
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Other Identifiers 1

Medicare PIN3K746ZXXY1NY

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

CLIA Laboratory Certificates CMS CLIA 2

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 33D2062629

Upper West Side Dermatology PC · New York, NY
Active · expires Apr 28, 2027
CLIA Number33D2062629
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorDr. Sarah E. Yagerman
Laboratory Phone(212) 769-0069
Laboratory LocationUpper West Side Dermatology PC277 West End Avenue, Suite 1B, New York, NY 10023
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.

Certificate of Waiver 33D2313435

Upper West Side Dermatology · New York, NY
Active · expires Oct 30, 2026
CLIA Number33D2313435
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorSarah Yagerman
Laboratory Phone(212) 769-0069
Laboratory LocationUpper West Side Dermatology330 West 58th Street Suite 407, New York, NY 10019
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

DR. HOWARD BALICK M.D.
Obstetrics & Gynecology
211 CENTRAL PARK W, SUITE#1D
NEW YORK, NY 10024
New York County (212) 877-3120
DR. RUBY MALIK PH.D.
Psychologist (Clinical)
211 CENTRAL PARK W, 1K
NEW YORK, NY 10024
New York County (212) 531-2444
DR. BARRY MAGID MD
Psychiatry & Neurology (Psychiatry)
211 CENTRAL PARK W, SUITE ONE I
NEW YORK, NY 10024
New York County (917) 441-1599
GARY R. BRENDEL M.D.
Psychiatry & Neurology (Psychiatry)
211 CENTRAL PARK W, SUITE 1K
NEW YORK, NY 10024
New York County (212) 580-2160
DR. ALEXANDER HECHT LEVI PH.D.
Psychologist (Clinical)
211 CENTRAL PARK W, 1-H
NEW YORK, NY 10024
New York County (212) 595-1317
MS. CONSTANCE M. STEWART L.C.S.W.
Social Worker (Clinical)
211 CENTRAL PARK W, SUITE 1-I
NEW YORK, NY 10024
New York County (212) 873-4287
ALEXANDER H. LEVI PC
Specialist
211 CENTRAL PARK W
NEW YORK, NY 10024
New York County (212) 595-1317
ROBERT JAMES PENZER M.D.
Psychiatry & Neurology (Psychiatry)
211 CENTRAL PARK W, SUITE 1K
NEW YORK, NY 10024
New York County (212) 987-5066

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 Upper West Side Dermatology Inc's NPI number?

The NPI number for Upper West Side Dermatology Inc is 1356504054. It was assigned to this organization in the NPPES registry on July 3, 2008.

Where is Upper West Side Dermatology Inc located?

Upper West Side Dermatology Inc is located at 211 Central Park W Suite 1F, New York, NY 10024. The listed phone number is (212) 769-0069.

What is Upper West Side Dermatology Inc's specialty?

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

Does Upper West Side Dermatology Inc hold CLIA laboratory certificates?

Yes. 2 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 Upper West Side Dermatology Inc was last updated on April 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.