LONG ISLAND DERMATOLOGY PLLC
NPI 1396268991
Dermatology in Manhasset, NY

Active since July 25, 2017
1615 NORTHERN BLVD STE 400, MANHASSET, NY 11030(516) 472-7546 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Nov 23, 2020, Jul 25, 2017 (3 updates tracked since 2017).

About Long Island Dermatology Pllc NPPES

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

LONG ISLAND DERMATOLOGY PLLC (NPI 1396268991) is a healthcare organization registered as a dermatology in Manhasset, New York and active in the NPI registry since July 2017. The organization lists Carol L Huang, Owner, as its authorized official.

NPPES Registry Identity

NPI1396268991
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLONG ISLAND DERMATOLOGY PLLC
Location Address1615 NORTHERN BLVD STE 400Manhasset, NY 11030-3033
Mailing Address1615 Northern Blvd Ste 400Manhasset, NY 11030-3033 · (516) 472-7546
Organization SubpartNo
Authorized OfficialCarol L HuangOwner · (516) 472-7546
Enumeration DateJuly 25, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
✔ NPI 1396268991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
1615 NORTHERN BLVD STE 400, Manhasset, NY 11030

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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Long Island Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Dermatology
NPI 1215215355
1045 NORTHERN BLVD FL 2
Roslyn, NY 11576
(516) 279-2616
✔ PECOS✔ Accepts Medicare1.2 mi
Dermatology
NPI 1811145972
13620 38TH AVE SUITE 7 I
Flushing, NY 11354
(718) 886-7546
✔ PECOS✔ Accepts Medicare7.8 mi
Dermatology
NPI 1710931423
13620 38TH AVE STE 7I
Flushing, NY 11354
(718) 886-7546
✔ PECOS✔ Accepts Medicare7.8 mi
Dermatology
NPI 1043598352
1727 BROADWAY
New York, NY 10019
(212) 489-6669
✔ PECOS✔ Accepts Medicare16 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 Long Island Dermatology PLLC's NPI number?

The NPI number for Long Island Dermatology PLLC is 1396268991. It was assigned to this organization in the NPPES registry on July 25, 2017.

Where is Long Island Dermatology PLLC located?

Long Island Dermatology PLLC is located at 1615 Northern Blvd Ste 400, Manhasset, NY 11030. The listed phone number is (516) 472-7546.

What is Long Island Dermatology PLLC's specialty?

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

Is Long Island Dermatology PLLC enrolled in Medicare?

Yes. Long Island Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long Island Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Long Island Dermatology PLLC. 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, 3 practice 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 Long Island Dermatology PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.