KALON DERMATOLOGY
NPI 1366035248
Clinic/Center in Brooklyn, NY

Active since February 11, 2021
2792 OCEAN AVE FL 2, BROOKLYN, NY 11229(917) 855-0007 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 15, 2021, Jun 7, 2021, Apr 13, 2021 and 1 more (4 updates tracked since 2021).

About Kalon Dermatology NPPES

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

KALON DERMATOLOGY (NPI 1366035248) is a healthcare organization registered as a clinic/center in Brooklyn, New York and active in the NPI registry since February 2021. The organization lists Joseph Iwanicki, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1366035248
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJI MEDICAL PC
Location Address2792 OCEAN AVE FL 2Brooklyn, NY 11229-4731
Mailing Address2792 Ocean Ave Fl 2Brooklyn, NY 11229-4731
Organization SubpartNo
Authorized OfficialJoseph IwanickiPractice Owner · (917) 855-0007
Enumeration DateFebruary 11, 2021
Last NPPES UpdateJune 15, 20214 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
✔ NPI 1366035248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2792 OCEAN AVE FL 2, Brooklyn, NY 11229

Other Names 1

Doing Business AsKalon Dermatology

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Kalon Dermatology, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Obstetrics/Gynecology
NPI 1225105513
2792 OCEAN AVE FL 2
Brooklyn, NY 11229
(833) 635-2566
✔ PECOSSame address
Nurse Practitioner
NPI 1417489188
2792 OCEAN AVE FL 2F
Brooklyn, NY 11229
(833) 635-2566
✔ PECOSSame address
Dermatology
NPI 1265439129
9921 4TH AVE
Brooklyn, NY 11209
(718) 833-7616
✔ PECOS4.6 mi
Nurse Practitioner
NPI 1205553393
440 ATLANTIC AVE
Brooklyn, NY 11217
(718) 797-5504
✔ PECOS✔ Accepts Medicare6.7 mi
Dermatology
NPI 1104848811
640 HAWKINS AVE
Lake Ronkonkoma, NY 11779
(631) 737-0100
✔ PECOS47 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ji Medical PC's NPI number?

The NPI number for Ji Medical PC is 1366035248. It was assigned to this organization in the NPPES registry on February 11, 2021. The provider is doing business as Kalon Dermatology.

Where is Ji Medical PC located?

Ji Medical PC is located at 2792 Ocean Ave Fl 2, Brooklyn, NY 11229. The listed phone number is (917) 855-0007.

What is Ji Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Ji Medical PC enrolled in Medicare?

Yes. Ji Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ji Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Ji Medical PC, in Dermatology, Nurse Practitioner and Obstetrics/Gynecology. 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. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ji Medical PC was last updated on June 15, 2021. 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.