CLARK DERMATOLOGY, LLC
NPI 1417316274
Dermatology in Staten Island, NY

Q: What is Clark Dermatology, LLC's NPI number?

The NPI number for Clark Dermatology, LLC is 1417316274. It was assigned to this organization in the NPPES registry on February 22, 2016. The provider is doing business as Metropolitan Dermatology.

Q: What is Clark Dermatology, LLC's specialty?

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

Active since February 22, 2016CLIA Certified · 4 labs

1324 VICTORY BLVD, STATEN ISLAND, NY 10301(718) 448-4488 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2025, Feb 22, 2016 (2 updates tracked since 2016).

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About Clark Dermatology, Llc NPPES

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

CLARK DERMATOLOGY, LLC (NPI 1417316274), doing business as Metropolitan Dermatology, is a healthcare organization registered as a dermatology in Staten Island, New York and active in the NPI registry since February 2016. The organization holds 4 active CLIA laboratory certificates and lists Alexander Doctoroff, Owner, as its authorized official.

NPPES Registry Identity

NPI1417316274

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameCLARK DERMATOLOGY, LLC

Location Address1324 VICTORY BLVDStaten Island, NY 10301-3917

Mailing Address469 Morris Ave Ste 3Elizabeth, NJ 07208-2904 · (732) 574-1399 · Fax (908) 512-7300

Phone(718) 448-4488

Organization SubpartNo

Authorized OfficialAlexander DoctoroffOwner · (732) 574-1399

Enumeration DateFebruary 22, 2016

Last NPPES UpdateMay 5, 20252 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1417316274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X

1324 VICTORY BLVD, Staten Island, NY 10301

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Other Names 1

Doing Business AsMetropolitan Dermatology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

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 33D2113003

Clark Dermatology LLC Dba Metropolitan Dermatology · Staten Island, NY

Active · expires Feb 27, 2027

CLIA Number33D2113003

Laboratory TypePhysician Office

Certificate Effective DateFebruary 28, 2025

Certificate Expiration DateFebruary 27, 2027

Laboratory DirectorDr. Alexander Doctoroff

Laboratory Phone(718) 448-4488

Laboratory LocationClark Dermatology LLC Dba Metropolitan Dermatology1324 Victory Boulevard, Staten Island, NY 10301

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.

Certificate of Compliance 31D2220087

Clark Dermatology LLC · Elizabeth, NJ

Active · expires Jan 19, 2028

CLIA Number31D2220087

Laboratory TypePhysician Office

Certificate Effective DateJanuary 20, 2026

Certificate Expiration DateJanuary 19, 2028

Laboratory DirectorDr. Xuan Wang

Laboratory Phone(732) 574-1399

Laboratory LocationClark Dermatology LLC469 Morris Avenue Suite 2, Elizabeth, NJ 07208

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 Compliance 31D2272192

Clark Dermatology Dba Metropolitan Dermatology · Branchburg, NJ

Active · expires Oct 20, 2027

CLIA Number31D2272192

Laboratory TypePhysician Office

Certificate Effective DateOctober 21, 2025

Certificate Expiration DateOctober 20, 2027

Laboratory DirectorAlexander Doctoroff

Laboratory Phone(732) 574-1399

Laboratory LocationClark Dermatology Dba Metropolitan Dermatology3461 Us 22D, Branchburg, NJ 08876

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 Compliance 31D1096817

Clark Dermatology Dba Metropolitan Dermatology · Kenilworth, NJ

Active · expires Jul 14, 2027

CLIA Number31D1096817

Laboratory TypePhysician Office

Certificate Effective DateJuly 15, 2025

Certificate Expiration DateJuly 14, 2027

Laboratory DirectorAlexander Doctoroff

Laboratory Phone(732) 574-1399

Laboratory LocationClark Dermatology Dba Metropolitan Dermatology622 Boulevard, Kenilworth, NJ 07033

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.

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Other Providers at the Same Location NPPES 6

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

RICHARD WALTER URBANEK M.D.

Specialist